P Praxis·MD
● Active Type 2 · Organization

Evening Medical Clinic

Clinic/Center·Burley, ID· NPI 1043412133 · Enumerated 2007 · 18 years on NPI
Evening Medical Clinic is 1 of 55 clinic/center organizations in Idaho.
NPI age
18 years
Enumerated 2007-06-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Klett
Owner
Last NPPES update
2010-07-16
Source: monthly bulk 2026-05

How this organization compares

Across 55 active clinic/center providers in Idaho.

NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1252 Bennett Ave, Suite B
Burley, ID 83318
📞 2088783486fax 2088782005
Mailing address
1252 Bennett Ave, Suite B
Burley, ID 83318
📞 2088783486fax 2088782005

Authorized official

Michael P Klett, DO
Owner
📞 2088785255

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Ann Cueva, RNCFNP Nurse Practitioner NPI 1164563680

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QH0100X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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