Organization · Type 2 NPI
First Care Concussion Diagnostic Clinics of Idaho, LLC
Health Service Clinic/Center · Middleton, ID
NPI number
1609563618
Active
Practice location
24641 Blaze Ave
Middleton, ID 83644-6156
Fax (385) 365-5054
Mailing address
1988 W 930 N Ste D
Pleasant Grove, UT 84062-4132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1609563618
First Care Concussion Diagnostic Clinics of Idaho, LLC's National Provider Identifier is 1609563618, issued on Apr 19, 2023. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Middleton, ID. The record was last updated on Apr 19, 2023.