Healthsource Partners, LLC

NPI #1861898678 in Lewiston, Idaho

Provider Information

NPI Number: 1861898678
Entity Type: Organization
Organization Name: Healthsource Partners, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 743-2511

Authorized Official

Name: MRS. SARAH MCCAULEY
Title: COO
Phone: (800) 501-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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