Organization
LINCOLN COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DAVIS M.D. (CEO/MEDICAL DIRECTOR)
(208) 886-2224
Entity
Organization
Contact information
Practice address
113 SOUTH APPLE STREET, SHOSHONE, ID 83352
(208) 886-2224
(208) 886-2634
Mailing address
113 S APPLE ST, SHOSHONE, ID 83352-5287
(208) 886-2224
(208) 886-2634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NA
ID
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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