Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO STREET MEDICAL CLINIC
Active OrganizationIDAHO STREET MEDICAL CLINIC is a Rural Health Clinic organization located in HOMEDALE, Idaho. NPI 1063970143 is currently active in the NPPES registry. Verify at CMS.
Rural Health Clinic · HOMEDALE, ID
Registration Details
- NPI Number
- 1063970143
- Provider Type
- Organization
- NPI Issued
- Mar 7, 2019 (7.2940605796657 yrs)
- Last Updated
- Mar 7, 2019
Practice Information
- Address
-
126 IDAHO AVE.HOMEDALE, ID, 836288362Browse ID providers · Browse ZIP 83628
- Phone
- 2088594103
- Primary Specialty
-
Rural Health Clinic
261QR1300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.