VERA WHOLE HEALTH WA PC NPI 1700379682

NPI Information

VERA WHOLE HEALTH, WA PC is a primary care clinic center in Pocatello, ID. VERA WHOLE HEALTH, WA PC NPI is 1700379682. The provider is registered as an organization entity type.
The provider Is Doing Business As Amy's Family Health Center.

The provider's business location address is:

219 PHIL MEADOR AVE
POCATELLO, ID
ZIP 83202
Phone: (208) 810-4715
Fax: (208) 473-2964

The provider's authorized official is Melissa Hirschfelder .
The authorized official title is Licensing Analyst and has the following contact phone number (206) 395-7870.

The CLIA number assigned to this NPI record is 05D2152236 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/14/2018 and was last updated on 12/23/2021.

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:

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