Intercept Systems, Pllc | |
140 N 700 W Blackfoot ID 83221-5311 | |
(208) 201-0795 | |
Not Available |
Full Name | Intercept Systems, Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 140 N 700 W, Blackfoot, Idaho |
Authorized Official Name and Position | Ralph D Heckard (MANAGER) |
Authorized Official Contact | 2082010795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Intercept Systems, Pllc 140 N 700 W Blackfoot ID 83221-5311 Ph: (208) 201-0795 | Intercept Systems, Pllc 140 N 700 W Blackfoot ID 83221-5311 Ph: (208) 201-0795 |
NPI Number | 1275707630 |
---|---|
Provider Enumeration Date | 04/16/2008 |
Last Update Date | 04/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275707630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | M4388 (Idaho) | Primary |
News Archive
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