Provider Demographics
NPI:1922383074
Name:SCOTT A REED MD PC
Entity Type:Organization
Organization Name:SCOTT A REED MD PC
Other - Org Name:MOUNTAINVIEW FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:208-682-9200
Mailing Address - Street 1:9 MAIN ST UNIT 894
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:ID
Mailing Address - Zip Code:83850-1435
Mailing Address - Country:US
Mailing Address - Phone:208-682-2707
Mailing Address - Fax:208-682-3108
Practice Address - Street 1:301 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:ID
Practice Address - Zip Code:83850-9767
Practice Address - Country:US
Practice Address - Phone:208-682-9200
Practice Address - Fax:208-682-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
IDM8355261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty