Organization
POWER COUNTY HOSPITAL DISTRICT
Active
Other names
HARMS FAMILY CLINIC, Power County Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KLISTA BRITTON-MAHAN (REVENUE CYCLE SPECIALIST)
(208) 226-3200
Entity
Organization
Contact information
Practice address
502 TYHEE AVE, AMERICAN FALLS, ID 83211-1224
(208) 226-3200
(208) 226-3223
Mailing address
510 ROOSEVELT ST, AMERICAN FALLS, ID 83211-1362
(208) 226-3200
(208) 226-3223
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250105
CIGNA GVT SERVICES
ID
05
—
806440200
—
ID
Enumeration date
07/11/2005
Last updated
08/03/2021
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