OrganizationActive
Ideal Telemedicine Services, LLC
NPI 1598520322 · Clinic/Center · Sandpoint, ID
Provider details
- NPI number
- 1598520322
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Bowden, Credentialing Manager(509) 570-9302
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2101 Pine St
Sandpoint, ID 83864-9327
Phone: (877) 522-1275
Fax: (833) 888-7145
Approximate (ZIP-level) locationGet directions
Mailing address
5615 Dunbarton Ave
Pasco, WA 99301-8216
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.