Clay I. Campbell M.D.,P.C.
Organization Active NPI Family Medicine Physician · Montpelier, ID
NPI 1295813475 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1295813475
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-6056 (ID)
- Legal business name
- CLAY I. CAMPBELL M.D.,P.C.
- Practice address
- 166 S 5TH St
Montpelier, ID 83254-1557 - Phone
- (208) 847-3847
- Fax
- (208) 847-1620
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Clay I Campbell, M.D.
- Title
- Owner
- Phone
- (208) 847-3847
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | M-6056 | ID | Yes |
Addresses
Primary practice location
166 S 5TH St
Montpelier, ID 83254-1557
Mailing address
166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-3847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806820000 | Medicaid | ID |
Other providers in Montpelier, ID
- Robert Wayne Brown
- Justin Richard Brunner
- Gabriel Neal Bush
- Alex Michael Carr
- Bonnie Colleen Caywood
- Complete Health and Wellness
- Peter Melvin Crane
- William Crane
- Joseph Dayton
- Doris Thornock
All providers in Montpelier, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.