Organization
LOST RIVERS MEDICAL CENTER
Active
Other names
ARCO CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD HUERTA (CEO)
(208) 527-8206
Entity
Organization
Contact information
Practice address
551 HIGHLAND DR, ARCO, ID 83213-5003
(208) 527-8206
(208) 527-3616
Mailing address
PO BOX 815, ARCO, ID 83213-0815
(208) 527-8206
(208) 527-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
05/01/2017
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