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Organization
ADVANCED CARE NORTHWEST LLC
Active
Organization
ADVANCED CARE NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY NICOLE BALDWIN (MEMBER/MANAGER)
(208) 610-3318
Entity
Organization
Contact information
Practice address
1009 HIGHWAY 2, SUITE E, SANDPOINT, ID 83864-2712
(208) 263-3225
(208) 946-2942
Mailing address
PO BOX 1869, BONNERS FERRY, ID 83805-1869
(208) 263-3225
(208) 946-2942
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
NULL
Other
Enumeration date
09/24/2013
Last updated
12/31/2013
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