Organization
MAGIC VALLEY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL H BARKER (SOLE MEMBER)
(208) 734-0000
Entity
Organization
Contact information
Practice address
844 WASHINGTON ST N STE 400, TWIN FALLS, ID 83301-3874
(208) 734-0000
(208) 735-5053
Mailing address
844 WASHINGTON ST N STE 400, TWIN FALLS, ID 83301-3874
(208) 734-0000
(208) 735-5053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174939383
—
ID
01
—
7369300001
MEDICARE DME
—
Enumeration date
07/08/2014
Last updated
07/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us