OrganizationActive
Mountain State Family Medicine, PC
NPI 1710917612 · Primary Care Clinic/Center · Grangeville, ID
Provider details
- NPI number
- 1710917612
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leanne Leblanc, President(208) 983-5120
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
610 Nw 2nd St
Grangeville, ID 83530-1244
Phone: (208) 983-5120
Fax: (208) 983-5404
Approximate (ZIP-level) locationGet directions
Mailing address
610 Nw 2nd St
Grangeville, ID 83530-1244
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.