The Living Farm, Pc | |
373 W Highway 39 # 2 Blackfoot ID 83221-5600 | |
(208) 785-4885 | |
Not Available |
Full Name | The Living Farm, Pc |
---|---|
Speciality | Community/behavioral Health |
Location | 373 W Highway 39 # 2, Blackfoot, Idaho |
Authorized Official Name and Position | John K Baird (PRESIDENT) |
Authorized Official Contact | 2087094538 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Living Farm, Pc 7079 E Panorama Dr Idaho Falls ID 83401-5826 Ph: (208) 552-9966 | The Living Farm, Pc 373 W Highway 39 # 2 Blackfoot ID 83221-5600 Ph: (208) 785-4885 |
NPI Number | 1275759763 |
---|---|
Provider Enumeration Date | 04/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275759763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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