Idaho Street Medical Clinic
Idaho Street Medical Clinic is a Rural Health Clinic/Center in Homedale, Idaho. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
126 Idaho AveHomedale, ID 83628-8362
Phone: (208) 859-4103
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1063970143 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edith Roe — President · (208) 859-4103 |
| Other names | Idaho Street Medical Clinic |
| NPI enumerated | March 7, 2019 |
| Last updated in NPPES | March 7, 2019 |
| Mailing address | Po Box 37, Homedale, ID 83628-0037 |