Provider Demographics
NPI:1932250552
Name:SME CENTER INC.
Entity Type:Organization
Organization Name:SME CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-734-1611
Mailing Address - Street 1:500 S LINCOLN AVE
Mailing Address - Street 2:FLOOR #2
Mailing Address - City:JEROME
Mailing Address - State:ID
Mailing Address - Zip Code:83338-3027
Mailing Address - Country:US
Mailing Address - Phone:208-734-1611
Mailing Address - Fax:208-734-1611
Practice Address - Street 1:500 S LINCOLN AVE
Practice Address - Street 2:FLOOR #2
Practice Address - City:JEROME
Practice Address - State:ID
Practice Address - Zip Code:83338-3027
Practice Address - Country:US
Practice Address - Phone:208-734-1611
Practice Address - Fax:208-734-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center