Clay C Prince (NPI# 1326152927, PAC ID# 7012908486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1326152927 |
PAC ID by PECOS | 7012908486 |
Professional Enrollment ID | I20041026000739 |
Full Name | Clay C Prince |
Organization Legal Name | COMPLETE FAMILY CARE PLLC |
Address |
10 Madison Professional Park Rexburg ID 83440-2058 |
Phone Number | 2086569467 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9537384557 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
130025 | MADISON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
10 Madison Professional Park, Rexburg, ID 83440-2058 | 2086569467 | COMPLETE FAMILY CARE PLLC |
Organization Legal Name | COMPLETE FAMILY CARE PLLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nichole Jeppesen | Nurse Practitioner | Complete Family Care Pllc | 10 Madison Professional Park, Rexburg, ID 83440-2058 |
Nichole M Robson | Physician Assistant | Complete Family Care Pllc | 10 Madison Professional Park, Rexburg, ID 83440-2058 |
Street Address |
10 MADISON PROFESSIONAL PARK |
City | REXBURG |
State | ID |
Zip | 83440-2058 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nichole Jeppesen | Nurse Practitioner | Complete Family Care Pllc | 10 Madison Professional Park, Rexburg, ID 83440-2058 |
Nichole M Robson | Physician Assistant | Complete Family Care Pllc | 10 Madison Professional Park, Rexburg, ID 83440-2058 |
Name | Specialty | Organization | Address |
---|---|---|---|
Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
Find all physicians in zip 83440 |
City | REXBURG |
Zip Code | 83440 |
Specialty | FAMILY MEDICINE |
City + Specialty | REXBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clay C Prince.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.