Organization
POCATELLO FREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE JOSEPH (EXECUTIVE DIRECTOR)
(208) 233-6245
Entity
Organization
Contact information
Practice address
1001 N 7TH AVE N STE 155, POCATELLO, ID 83201-5786
(208) 233-6245
(208) 233-1065
Mailing address
1001 N 7TH AVE N STE 155, POCATELLO, ID 83201-5786
(208) 233-6245
(208) 233-1065
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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