# FIRST CARE MEDICAL OF IDAHO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043034044
- **Authorized official:** DR. NATE D MILLER DC (CEO)
- **Authorized official phone:** (801) 899-2053

## Contact information

- **Practice address:** 232 2ND ST S, NAMPA, ID 83651-3709
- **Practice address phone:** (208) 461-6523
- **Mailing address:** 2168 W GROVE PKWY STE 200, PLEASANT GROVE, UT 84062-6748
- **Mailing address phone:** (801) 899-2053
- **Mailing address fax:** (801) 385-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2024
- **Last updated:** 11/14/2024