CLUB, INC.

Voluntary or Charitable

Active Organization
NPI: 1215097480

Practice Address

2001 S WOODRUFF AVE
SUITE 6
Idaho Falls, ID 83404

Phone: (208) 529-4673

Specialties

Specialty Code Primary License
Voluntary or Charitable 251V00000X Yes -

Frequently Asked Questions

NPI 1215097480 is the National Provider Identifier for CLUB, INC., a Voluntary or Charitable provider located in Idaho Falls, ID. This NPI was enumerated on December 11, 2006.

Quick Facts

NPI
1215097480
Type
Organization
Enumerated
Dec 11, 2006
Last Updated
Aug 22, 2020

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