Organization
FALLS AVENUE IMMEDIATE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W SCOTT RUDEEN MD (OWNER)
(208) 733-6700
Entity
Organization
Contact information
Practice address
260 FALLS AVE STE D, TWIN FALLS, ID 83301-3370
(208) 733-6700
(208) 733-0803
Mailing address
260 FALLS AVE STE D, TWIN FALLS, ID 83301-3370
(208) 733-6700
(208) 733-0803
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/21/2018
Last updated
02/07/2022
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