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Organization
REACH PRIMARY CARE LLC
Active
Organization
REACH PRIMARY CARE LLC
Active
Other names
Reach TeleMed
Organization subpart
No
Provider details
NPI number
Authorized official
THAO T NELSON PA (OWNER)
(435) 538-3713
Entity
Organization
Contact information
Practice address
141 N PALMETTO AVE UNIT 326, EAGLE, ID 83616-8014
(435) 538-3713
Mailing address
141 N PALMETTO AVE UNIT 326, EAGLE, ID 83616-8014
(435) 538-3713
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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