Provider Demographics
NPI:1033985395
Name:PARTNERS IN HEALTH
Entity Type:Organization
Organization Name:PARTNERS IN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:JAMBURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-322-1325
Mailing Address - Street 1:7722 W USTICK RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5845
Mailing Address - Country:US
Mailing Address - Phone:208-322-1325
Mailing Address - Fax:208-327-0393
Practice Address - Street 1:7722 W USTICK RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5845
Practice Address - Country:US
Practice Address - Phone:208-322-1325
Practice Address - Fax:208-327-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty