Organization
CHALLIS AREA HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE TAYLOR (ADMINISTRATOR)
(208) 879-4351
Entity
Organization
Contact information
Practice address
1 CLINIC ROAD, CHALLIS, ID 83226-0980
(208) 879-4351
(208) 879-5216
Mailing address
PO BOX 980, CHALLIS, ID 83226-0980
(208) 879-4351
(208) 879-5216
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805056300
—
ID
Enumeration date
09/29/2006
Last updated
03/25/2010
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