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PATRIOT HEALTHCARE LLC NPI 1376083568


NPI Information

NPI: 1376083568
Provider Name: PATRIOT HEALTHCARE, LLC

Doing Business As: PATRIOT HEALTHCARE FAMILY AD URGENT CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
144 OASIS DR
POCATELLO, ID
ZIP 83204
Phone: (208) 541-0920
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PATRIOT HEALTHCARE, LLC is a clinic center in Pocatello, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PATRIOT HEALTHCARE, LLC NPI is 1376083568. The provider is registered as an organization entity type.
The provider Is Doing Business As Patriot Healthcare Family Ad Urgent Care.

The provider's business location address is:

144 OASIS DR
POCATELLO, ID
ZIP 83204-826
Phone: (208) 541-0920

The provider's authorized official is Kenneth Ray Lowther .
The authorized official title is Medical Director/ceo and has the following contact phone number (208) 541-0920.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 3/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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: 11/14/2023

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