Advanced Family Medicine Pllc

LBN: Advanced Family Medicine Pllc
Advanced Family Medicine Pllc is an health care organization with primary practice located at 943 Linder Rd #103, Kuna ID 83634-3395. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Advanced Family Medicine Pllc can be contacted via phone (208) 922-3355, or through Foutz, Michael W via phone (208) 922-3355.

Contact Information

Primary practice address
943 Linder Rd #103 Kuna ID 83634-3395
Phone: (208) 922-3355
Fax: (208) 922-9499
Website:
Map and Directions
Authorized official contact:
Name: Foutz, Michael W Doctor of Medicine (MD)
Phone: (208) 922-3355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1598822231
LBN Legal business name Advanced Family Medicine Pllc
DBA Doing business as
Authorized official Foutz, Michael W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Sep 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598822231 NPPES
Idaho MEDICAID 806958500

Popular Providers