PRESTON FAMILY MEDICINE DBA BONTRAGER QUICK CARE NPI 1740989417

NPI Information

NPI: 1740989417
Provider Name: PRESTON FAMILY MEDICINE DBA BONTRAGER QUICK CARE

Doing Business As: BONTRAGER QUICK CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
43 N 1ST E
PRESTON, ID
ZIP 83263
Phone: (208) 648-4771
Get Directions

PRESTON FAMILY MEDICINE DBA BONTRAGER QUICK CARE is an urgent care clinic center in Preston, ID. PRESTON FAMILY MEDICINE DBA BONTRAGER QUICK CARE NPI is 1740989417. The provider is registered as an organization entity type.
The provider Is Doing Business As Bontrager Quick Care.

The provider's business location address is:

43 N 1ST E
PRESTON, ID
ZIP 83263-325
Phone: (208) 648-4771

The provider's authorized official is Gordon Bontrager .
The authorized official title is Owner and has the following contact phone number (208) 648-4771.

The CLIA number assigned to this NPI record is 13D2277256 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2023 and was last updated on 3/9/2023.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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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