Provider Demographics
NPI:1376323303
Name:JFF MEDICAL, LLC
Entity Type:Organization
Organization Name:JFF MEDICAL, LLC
Other - Org Name:SEASONS ALLERGY & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEM
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-870-2079
Mailing Address - Street 1:784 S CLEARWATER LOOP # 8046
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-9599
Mailing Address - Country:US
Mailing Address - Phone:208-906-8400
Mailing Address - Fax:713-510-1548
Practice Address - Street 1:1965 S EAGLE RD STE 120
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-9287
Practice Address - Country:US
Practice Address - Phone:208-906-8400
Practice Address - Fax:713-510-1548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty