Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain State Family Medicine, PC

Organization Primary Care Clinic/Center · NPI 1710917612

Mountain State Family Medicine, PC is a Primary Care Clinic/Center in Grangeville, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 NW 2nd St
Grangeville, ID 83530-1244
Phone: (208) 983-5120
Fax: (208) 983-5404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1710917612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leanne Leblanc — President · (208) 983-5120
NPI enumeratedJuly 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address610 Nw 2nd St, Grangeville, ID 83530-1244

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