Keith E Davis
Keith E Davis is a Rural Health Clinic/Center in Shoshone, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
113 S Apple StShoshone, ID 83352-5287
Phone: (208) 886-2222
Show map & directions
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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 | 1972673218 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Davis — Owner · (208) 886-2224 |
| Other names | Shoshone Family Medical Center |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | March 8, 2012 |
| Mailing address | Po Box 609, Shoshone, ID 83352-0609 |