Organization directory

<UNAVAIL> fax numbers

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212 BONNER MALL WAY, PONDERAY, ID, 83852-9748
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1194759654
Practice address
212 BONNER MALL WAY, PONDERAY, ID, 83852-9748
Telephone
(208) 265-8066
Provider specialty
See registry classification 333600000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(208) 263-6623
NPI 1194759654

212 BONNER MALL WAY, PONDERAY, ID, 83852-9748

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source