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FAMILY MEDICAL CARE PLLC NPI 1053615427


NPI Information

NPI: 1053615427
Provider Name: FAMILY MEDICAL CARE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D1049033

Address:
265 W PRAIRIE SHOPPING CTR
HAYDEN, ID
ZIP 83835
Phone: (208) 772-7850
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FAMILY MEDICAL CARE PLLC is a family medicine in Hayden, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL CARE PLLC NPI is 1053615427. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

265 W PRAIRIE SHOPPING CTR
HAYDEN, ID
ZIP 83835-855
Phone: (208) 772-7850
Fax: (208) 772-2313

The provider's authorized official is John Lawrence Torquato .
The authorized official title is President and has the following contact phone number (208) 772-7850.

The CLIA number assigned to this NPI record is 13D1049033 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/29/2010 and was last updated on 12/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPAG-019IDAHONo
2207Q00000XFamily MedicineM-7938IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11143910MEDICARE PINIDAHO
28058948MEDICAIDIDAHO
3G65419MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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