Organization
CENTRAL IDAHO INFUSION CENTER LLC
Active
Other names
Central Idaho Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOLYNE DICKINSON RN (OFFICE MANAGER)
(208) 316-6424
Entity
Organization
Contact information
Practice address
868 E MAIN ST, JEROME, ID 83338-2446
(208) 316-6424
Mailing address
1115 8TH AVE E, JEROME, ID 83338-2139
(208) 316-6424
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
01/16/2026
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