Snake River Pediatrics, Pc - Primary Care in Fruitland, ID

Snake River Pediatrics, Pc is a primary clinic (Clinic/center - Rural Health) in Fruitland, Idaho. The current practice location for Snake River Pediatrics, Pc is 1100 Nw 12th St, Fruitland, Idaho. For appointments, you can reach them via phone at (208) 452-6556. The mailing address for Snake River Pediatrics, Pc is 1100 Nw 12th St, Fruitland, Idaho and phone number is (208) 452-6556.

Snake River Pediatrics, Pc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1720489396. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (208) 452-6556.

Contact Information

Snake River Pediatrics, Pc
1100 Nw 12th St
Fruitland
ID 83619-5040
(208) 452-6556
(541) 216-6557

Primary Care Clinic Profile

Full NameSnake River Pediatrics, Pc
SpecialityClinic/center - Rural Health
Location1100 Nw 12th St, Fruitland, Idaho
Authorized Official Name and PositionMatthew Joseph Berria (PRESIDENT)
Authorized Official Contact2087404518
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Snake River Pediatrics, Pc
1100 Nw 12th St
Fruitland
ID 83619-5040

Ph: (208) 452-6556
Snake River Pediatrics, Pc
1100 Nw 12th St
Fruitland
ID 83619-5040

Ph: (208) 452-6556

NPI Details:

NPI Number1720489396
Provider Enumeration Date09/14/2014
Last Update Date08/16/2023

Medical Identifiers

Medical identifiers for Snake River Pediatrics, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720489396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care PA00913 (Oregon)Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

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