New Plymouth Clinic
Organization Active NPI Health Service Clinic/Center · New Plymouth, ID
NPI 1770059792 · NPPES record last updated Oct 17, 2018
Key facts
- NPI
- 1770059792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- NEW PLYMOUTH CLINIC
- Practice address
- 213 N Plymouth Ave
New Plymouth, ID 83655-5532 - Phone
- (208) 631-5375
- NPI assigned
- Oct 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Roy Sternes, PA-C
- Title
- Owner
- Phone
- (208) 631-5375
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
213 N Plymouth Ave
New Plymouth, ID 83655-5532
Mailing address
8611 Dewey Rd
Emmett, ID 83617-8855
Phone (208) 631-5375
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- New Plymouth School District #372
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- Angela M Saitta
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All providers in New Plymouth, ID · Health Service Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2018. 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.