Mountain Country Family Healthcare, Pllc
NPI #1447801451 in Spirit Lake, Idaho
Provider Information
- NPI Number
- 1447801451
- Entity Type
- Organization
- Organization Name
- Mountain Country Family Healthcare, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Sep 23, 2019
Practice Location
- Address
- 31911 N 5TH AVE
- City
- Spirit Lake
- State
- Idaho
- ZIP Code
- 83869
- Phone
- (208) 610-7103
Authorized Official
- Name
- LANA ROCHELLE YOUNG, NP
- Title
- OWNER
- Phone
- (208) 610-7103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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