# URGENT CARE OF IDAHO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Care of Jerome, Urgent Care of Jerome
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538578687
- **Authorized official:** KYLE JAMES (CO-OWNER)
- **Authorized official phone:** (208) 678-6996

## Contact information

- **Practice address:** 133 W AVENUE A, SUITE B, JEROME, ID 83338-2630
- **Practice address phone:** (208) 324-2004
- **Practice address fax:** (208) 324-1154
- **Mailing address:** PO BOX 773, JEROME, ID 83338-5483
- **Mailing address phone:** (208) 324-2004
- **Mailing address fax:** (208) 324-1154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M-9766 | ID | — |
| 207Q00000X | Family Medicine Physician | O-154 | ID | — |
| 261QU0200X | Urgent Care Clinic/Center | — | ID | Yes |

## Other

- **Enumeration date:** 08/02/2014
- **Last updated:** 05/24/2022