Organization
CLUBHOUSE PEDIATRIC DENTISTRY OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LOUISE ROBISON (FINANCIAL COORDINATOR)
(208) 520-1514
Entity
Organization
Contact information
Practice address
859 S YELLOWSTONE HWY, REXBURG, ID 83440-5293
(208) 552-5439
Mailing address
859 S YELLOWSTONE HWY, REXBURG, ID 83440-5293
(208) 552-5439
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28954
—
ID
Enumeration date
09/26/2018
Last updated
09/26/2018
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