SALMON RIVER CLINIC


Address: 102 Courthouse Dr, Suite F, Salmon, ID 83467-3904
Phone: 2087421111

SALMON RIVER CLINIC (NPI# 1104351972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104351972
Entity Type Organization
Organization Name SALMON RIVER CLINIC
Practice Address 102 Courthouse Dr
Suite F
Salmon
ID 83467-3904
Practice Telephone 2087421111
Practice Fax Number 2087421120
Mailing Telephone 2087421111
Mailing Fax Number 2087421120
Enumeration Date 2017-04-28
Last Update Date 2017-04-28
Authorized Official Name DARCI NEYMAN (OFFICE MANAGER)
Authorized Official Telephone 2089402524
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
NP1202A ID Ambulatory Health Care Facilities

Office Location

Street Address 102 COURTHOUSE DR
SUITE F
City SALMON
State ID
Zip Code 83467-3904

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1689826984 Charles John Clark Pharmacist 203 So. Daisy, Salmon, ID 83467 2008-10-17
1972767531 Katherine I Contway Social Worker 204 Courthouse Dr, Salmon, ID 83467 2008-07-14
1215135017 Annie J Allen Acupuncturist 111 Lillian Street, Suite 211, Salmon, ID 83467 2007-07-03
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SALMON
Zip Code 83467

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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