NPI age
20 years
Enumerated 2006-03-23
Across 99 active clinic/center providers in Idaho.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010029517 | BLUE SHILED |
| 01 (ID) | FIRST HEALTH CCN | 2090664 |
| 01 (ID) | 04101 | BLUE CROSS |
| 05 (ID) | 805861000 |
Multi-provider organization. 8 individual providers on file at this primary address.
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