Organization · Type 2 NPI
Fremont Medical Services PC
Clinic/Center · Island Park, ID
NPI number
1407026560
Active
Practice location
3765 Highway 20 S
Island Park, ID 83429
Mailing address
PO Box 826
Ashton, ID 83420-0826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | M4566 (ID) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1407026560
Fremont Medical Services PC's National Provider Identifier is 1407026560, issued on Mar 5, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Island Park, ID. The record was last updated on Apr 2, 2008.