Organization
SOUTHFORK HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY SWOPE NP (ADMINISTRATOR)
(208) 360-1997
Entity
Organization
Contact information
Practice address
166 ELK PATH, SWAN VALLEY, ID 83449-0101
(208) 360-1997
Mailing address
PO BOX 101, SWAN VALLEY, ID 83449-0101
(208) 360-1997
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
05/29/2023
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