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Keith E Davis — NPI 1972673218, Shoshone, ID | NPI Central

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NPI 1972673218

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Keith E Davis

NPI 1972673218 · Rural Health Clinic/Center · Shoshone, ID

Provider details

NPI number: 1972673218
Entity type: Organization
Primary specialty: Rural Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Keith Davis, Owner(208) 886-2224

Specialties & taxonomies

Rural Health Clinic/CenterPrimary261QR1300X
Ambulatory Health Care Facilities

Practice location

113 S Apple St

Shoshone, ID 83352-5287

Phone: (208) 886-2222

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 609

Shoshone, ID 83352-0609

Other names (DBA / former)

Doing business as: Shoshone Family Medical Center

Registry dates

Enumerated: 2006-11-08
Last updated: 2012-03-08

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