Southfork Healthcare
Southfork Healthcare is a Primary Care Clinic/Center in Swan Valley, Idaho. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
166 Elk PathSwan Valley, ID 83449-0101
Phone: (208) 360-1997
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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 number | 1134462856 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendy Swope — Administrator · (208) 360-1997 |
| NPI enumerated | April 1, 2013 |
| Last updated in NPPES | May 29, 2023 |
| Certification date | May 29, 2023 |
| Mailing address | Po Box 101, Swan Valley, ID 83449-0101 |