| NPI | 1649699216 |
|---|---|
| Doing Business As | SHELLEY FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NED HILLYARD Chief Compliance Officer 208-557-2711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2016-04-21 |