Organization · Type 2 NPI
Place of Food
Health Service Clinic/Center · Kimberly, ID
NPI number
1477044543
Active
Practice location
1131 Cole St
Kimberly, ID 83341-5138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1477044543
Place of Food's National Provider Identifier is 1477044543, issued on May 24, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Kimberly, ID. The record was last updated on May 24, 2018.