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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF IDAHO

Active Organization

STATE OF IDAHO is a Family Medicine organization located in NAMPA, Idaho. NPI 1265558019 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NAMPA, ID

Registration Details

NPI Number
1265558019
Provider Type
Organization
NPI Issued
Mar 22, 2007 (19.381120413882 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
1660 11TH AVE N
NAMPA, ID, 836875000
Browse ID providers · Browse ZIP 83687
Phone
2084422812
Fax
2084675978
Primary Specialty
Family Medicine
207Q00000X
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.