OrganizationActive
Mountain West Medical Services PLLC
NPI 1457894339 · Primary Care Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1457894339
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Mcrae, Dr. of Nurse Practioner(208) 229-8739
- License
- 54169 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1067 S Wells St
Suite#110
Meridian, ID 83642-7997
Phone: (208) 229-8739
Fax: (208) 895-8540
Approximate (ZIP-level) locationGet directions
Mailing address
1067 S Wells St
Meridian, ID 83642-7997
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2023-07-07
- Certified
- 2023-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.