Organization · Type 2 NPI
Southfork Healthcare
Primary Care Clinic/Center · Swan Valley, ID
NPI number
1134462856
Active
Practice location
166 Elk Path
Swan Valley, ID 83449-0101
Mailing address
PO Box 101
Swan Valley, ID 83449-0101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1134462856
Southfork Healthcare's National Provider Identifier is 1134462856, issued on Apr 1, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Swan Valley, ID. The record was last updated on May 29, 2023.