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Contact Information

BONNERS FERRY FAMILY MEDICINE, PLLC
6488 CHINOOK ST
BONNERS FERRY, ID83805-9517
 Phone: 208-946-0572
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BONNERS FERRY FAMILY MEDICINE, PLLC

NPI Number 1922152537
LBN Legal business name BONNERS FERRY FAMILY MEDICINE, PLLC
Authorized official TROY GEYMAN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 12/18/2023 - About 2 years ago
Identifiers
ID License # M8544
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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