FAMILY CARE PHYSICIANS PA NPI 1124015342

NPI Information

NPI: 1124015342
Provider Name: FAMILY CARE PHYSICIANS, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
112 5TH AVE W
JEROME, ID
ZIP 83338
Phone: (208) 324-1157
Get Directions

FAMILY CARE PHYSICIANS, PA is a family medicine in Jerome, 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 CARE PHYSICIANS, PA NPI is 1124015342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 5TH AVE W
JEROME, ID
ZIP 83338-825
Phone: (208) 324-1157
Fax: (208) 324-3604

The provider's authorized official is James S Irwin .
The authorized official title is Owner/president and has the following contact phone number (208) 324-1157.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 10/14/2009.

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
1	207Q00000X	Family Medicine				Yes

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
1	133843	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	RURAL HEALTH CLINIC
2	1376264	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
3	8064244	MEDICAID	IDAHO
4	8041512	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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