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Fremont Medical Services PC — NPI 1407026560, Island Park, ID | NPI Central

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NPI 1407026560

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Fremont Medical Services PC

NPI 1407026560 · Clinic/Center · Island Park, ID

Provider details

NPI number: 1407026560
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Fremont Medical Services PC
Organization subpart: Yes
Authorized official: Stephen Cheyne, President(208) 558-7766
License: M4566 (ID)

Specialties & taxonomies

Clinic/CenterPrimary261Q00000XLicense M4566 (ID)
Ambulatory Health Care Facilities

Practice location

3765 Highway 20 S

Island Park, ID 83429

Phone: (208) 558-7766

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 826

Ashton, ID 83420-0826

Other names (DBA / former)

Other name: Island Park Medical Clinic

Registry dates

Enumerated: 2008-03-05
Last updated: 2008-04-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.