IDAHO STREET MEDICAL CLINIC is a rural health clinic center in Homedale, ID. IDAHO STREET MEDICAL CLINIC NPI is 1063970143. The provider is registered as an organization entity type.
The provider Is Doing Business As Idaho Street Medical Clinic.
The provider's business location address is:
126 IDAHO AVE.
HOMEDALE, ID
ZIP 83628-362
Phone: (208) 859-4103
The provider's authorized official is Edith Roe .
The authorized official title is President and has the following contact phone number (208) 859-4103.
The enumeration date for this NPI number is 3/7/2019 and was last updated on 3/7/2019.