Organization
WOOD RIVER FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL A BARBEE M.D. (PHYSICIAN)
(208) 788-3434
Entity
Organization
Contact information
Practice address
706 S MAIN ST, HAILEY, ID 83333-8400
(208) 788-3434
(208) 788-2025
Mailing address
706 S MAIN ST, HAILEY, ID 83333-8400
(208) 788-3434
(208) 788-2025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807049000
—
ID
01
—
DC8867
RR MEDICARE
ID
Enumeration date
06/06/2006
Last updated
06/18/2008
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