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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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