DORCHUCK MEDICAL INC NPI 1144300906

NPI Information

NPI: 1144300906
Provider Name: DORCHUCK MEDICAL INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
801 E MULLAN AVENUE
OSBURN, ID
ZIP 83849
Phone: (208) 556-4803
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DORCHUCK MEDICAL INC is a family medicine in Osburn, 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. DORCHUCK MEDICAL INC NPI is 1144300906. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 E MULLAN AVENUE
OSBURN, ID
ZIP 83849-596
Phone: (208) 556-4803
Fax: (208) 556-1023

The provider's authorized official is Ronald W Dorchuck .
The authorized official title is Owner and has the following contact phone number (208) 556-4803.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 12/16/2008.

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	225100000X	Physical Therapist		PT-1871	IDAHO	No
2	207Q00000X	Family Medicine		M-6906	IDAHO	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	1368235	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	MEDICARE
2	8M580	OTHER	IDAHO	BLUE CROSS
3	DD9081	OTHER	IDAHO	MEDICARE RAILROAD

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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