Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAYETTE LAKES MEDICAL CLINIC, PA
Active OrganizationPAYETTE LAKES MEDICAL CLINIC, PA is a Primary Care Clinic organization located in DONNELLY, Idaho. NPI 1902937196 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · DONNELLY, ID
Registration Details
- NPI Number
- 1902937196
- Provider Type
- Organization
- NPI Issued
- Mar 8, 2007 (19.442975154195 yrs)
- Last Updated
- Mar 17, 2008
Practice Information
- Address
-
454 ROSEBURY ROADSUITE 103DONNELLY, ID, 83615Browse ID providers · Browse ZIP 83615
- Phone
- 2083254455
- Fax
- 2083254466
- Primary Specialty
-
Primary Care Clinic
261QP2300X
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.