Organization
PAYETTE LAKES MEDICAL CLINIC, PA
Active
Other names
Meadows Valley Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE R BRUNS (VP - PHYSICIAN SERVICES)
(208) 634-4061
Entity
Organization
Contact information
Practice address
320 VIRGINIA AVENUE, NEW MEADOWS, ID 83654
(208) 347-2146
(208) 347-2147
Mailing address
P O BOX 1047, MCCALL, ID 83638-1047
(208) 347-2146
(208) 347-2147
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006721
BS
ID
01
—
28340
BC
ID
Enumeration date
03/08/2007
Last updated
03/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us