MILESTONE MEDICAL LLC NPI 1366274201

NPI Information

  • NPI: 1366274201
  • Provider Name: MILESTONE MEDICAL LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1499 CURLEW DR
    AMMON, ID
    ZIP 83406
  • Phone: (208) 529-3342

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NPI Details

MILESTONE MEDICAL LLC is a medical specialty clinic center in Ammon, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MILESTONE MEDICAL LLC NPI is 1366274201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1499 CURLEW DR
AMMON, ID
ZIP 83406-764
Phone: (208) 529-3342
Fax: (208) 529-6631

The provider's authorized official is Jed Robertson .
The authorized official title is Ceo and has the following contact phone number (208) 529-3342.

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/20/2024.

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
1207Q00000XFamily MedicineNo
2261QM2500XClinic/CenterMedical SpecialtyYes
3363LF0000XNurse PractitionerFamilyNo

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: 11/21/2025

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