Organization
MOUNTAIN COUNTRY FAMILY HEALTHCARE, PLLC
Active
Other names
Mountain Country Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LANA ROCHELLE YOUNG NP (OWNER)
(208) 610-7103
Entity
Organization
Contact information
Practice address
31911 N 5TH AVE, SPIRIT LAKE, ID 83869
(208) 610-7103
Mailing address
PO BOX 1671, SPIRIT LAKE, ID 83869-1605
(208) 610-7103
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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