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I CARE MEDICAL CLINIC PA
NPI 1952654741
Physician Assistant in Saint Anthony, ID

Active since October 18, 2012
430 N BRIDGE ST, SAINT ANTHONY, ID 83445(208) 624-4402(208) 624-4409 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About I Care Medical Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

I CARE MEDICAL CLINIC PA (NPI 1952654741) is a healthcare organization registered as a physician assistant in Saint Anthony, Idaho and active in the NPI registry since October 2012. The organization lists Jennifer Rickell Willmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1952654741
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameI CARE MEDICAL CLINIC PA
Location Address430 N BRIDGE STSaint Anthony, ID 83445-1425
Mailing Address430 N Bridge StSaint Anthony, ID 83445-1425 · (208) 624-4402 · Fax (208) 624-4409
Phone(208) 624-4402
Fax(208) 624-4409
Organization SubpartNo
Authorized OfficialJennifer Rickell WillmoreOwner · (208) 624-4402
Enumeration DateOctober 18, 2012
Last NPPES UpdateApril 4, 2013
✔ NPI 1952654741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA 519
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
430 N BRIDGE ST, Saint Anthony, ID 83445
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Other Identifiers 3

Medicaid807122700ID
Medicare PIN1666766ID
Medicare UPINQ37128ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREMONT MEDICAL SERVICES PC
Clinic/Center
430 N BRIDGE ST
SAINT ANTHONY, ID 83445
Fremont County (208) 624-4402
DR. STEPHEN J. CHEYNE M.D.
General Practice
430 N BRIDGE ST
SAINT ANTHONY, ID 83445
Fremont County (208) 624-4402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is I Care Medical Clinic PA's NPI number?

The NPI number for I Care Medical Clinic PA is 1952654741. It was assigned to this organization in the NPPES registry on October 18, 2012.

Where is I Care Medical Clinic PA located?

I Care Medical Clinic PA is located at 430 N Bridge St, Saint Anthony, ID 83445. The listed phone number is (208) 624-4402.

What is I Care Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for I Care Medical Clinic PA was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.