# PAGE FAMILY MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIANS IMMEDIATE CARE OF TWIN FALLS
- **Other names:** c/o PHYSICIANS IMMEIDATE CARE OF TWIN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487151882
- **Legal business name:** PHYSICIANS IMMEDIATE CARE OF TWIN FALLS
- **Authorized official:** JEREMY B HAYMORE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (208) 312-2242

## Contact information

- **Practice address:** 1252 BENNETT AVE, SUITE B, BURLEY, ID 83318
- **Practice address phone:** (208) 617-0656
- **Practice address fax:** (208) 647-0659
- **Mailing address:** 260 FALLS AVE STE C, TWIN FALLS, ID 83301-3370
- **Mailing address phone:** (208) 736-7422
- **Mailing address fax:** (708) 736-8905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M-4391 | ID | Yes |

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 02/01/2019