Two Rivers Medical Clinic, Pa

LBN: Two Rivers Medical Clinic, Pa
Two Rivers Medical Clinic, Pa is an health care organization with primary practice located at 683 E 3Rd St , Weiser ID 83672-2248. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Two Rivers Medical Clinic, Pa can be contacted via phone (208) 549-0211, or through Edmondson, Tony via phone (208) 549-0211.

Contact Information

Primary practice address
683 E 3Rd St Weiser ID 83672-2248
Phone: (208) 549-0211
Fax: (208) 549-0104
Website:
Map and Directions
Authorized official contact:
Name: Edmondson, Tony
Phone: (208) 549-0211

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1376662486
LBN Legal business name Two Rivers Medical Clinic, Pa
DBA Doing business as
Authorized official Edmondson, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Apr 12th, 2016 - about 9 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 1376662486 NPPES
Idaho MEDICAID 002756300
Idaho MEDICAID 805040300
Idaho MEDICAID 002756600
Idaho MEDICAID 1376662486

Popular Providers