| NPI | 1316402258 |
|---|---|
| Doing Business As | TREASURE VALLEY WOMEN AND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT HART CEO 208-642-7364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2024-02-01 |