NPI age
19 years
Enumerated 2006-10-20
● Active Type 2 · Organization
Garden Valley Family Medicine Pc
Garden Valley Family Medicine Pc is 1 of 1,717 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Koenig
Owner
Last NPPES update
2018-03-17
Source: CMS NPPES provider record
How this organization compares
Across 1717 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2018
2006-10Enumerated in NPPES
2006
2018
Where they practice
Primary practice location
856 Banks Lowman Road
Garden Valley, ID 83622
Mailing address
Po Box 270
Garden Valley, ID 836220270
Additional practice locations
1 secondary location on file with NPPES.
Location 2
102 Quinn Street
Horseshoe Bend, ID 836290000
Authorized official
Michael R Koenig, MD
Owner
📞 2084623533
Other providers sharing this address
1 individual provider use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Jeremy Basse, FNP Nurse Practitioner NPI 1578726485
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Shared NPPES address. 1 individual provider use this primary address. This does not prove employment or affiliation. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.