Tamarack Medical Clinic

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TAMARACK MEDICAL CLINIC

Practice address

610 Village Dr
Donnelly, ID 83615

Phone

(208) 382-4242

Fax

(208) 382-3580

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Behnke

Title

Ceo

Phone

(208) 382-4242

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Wade Gilman, M.D.

  • Family Medicine Physician
  • Cascade, ID
  • NPI 1609940709
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437214475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836110160",
            "telephone_number": "208-382-4242",
            "fax_number": "208-382-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 VILLAGE DR",
            "city": "DONNELLY",
            "state": "ID",
            "postal_code": "83615",
            "telephone_number": "208-382-4242",
            "fax_number": "208-382-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-382-4242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payette Lakes Medical Clinic, PA
• Taylor Rae, P-LCSW
• Sellers DMD PC
• Kimberly Ruth Smith, RN, BSN, CLC
• Kathryn Latham Stoll, LMFT
• Mont B Tolman, DO

• Urgent Care Clinic/Center in Donnelly, ID
• Providers in Donnelly, ID by specialty
• Urgent Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.