Organization
GLENNS FERRY HEALTH CENTER, INC.
Active
Other names
Desert Sage Health Center, Desert Sage Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLET WILSON (EXECUTIVE ASSISTANT)
(208) 696-7203
Entity
Organization
Contact information
Practice address
120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
(208) 587-3988
Mailing address
120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
(208) 696-7203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4672
ID
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
06/17/2026
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