NPI | 1154524403 |
---|---|
Other Name | LAKEVIEW MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN L HOOPES CEO 208-547-3341 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: ID 37) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2012-12-21 |