MEDICARE: RIT CLINICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1699912287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIT CLINICS

Provider Business Mailing Address
First Line	:	1188 CALL CREEK DR
Second Line	:
City	:	POCATELLO
State	:	ID
Zip	:	83201-3000
Country	:	US
Telephone Number	:	208-232-2604
Fax Number	:	208-379-6041

Provider Business Practice Location Address
First Line	:	1188 CALL CREEK DR
Second Line	:
City	:	POCATELLO
State	:	ID
Zip	:	83201-3000
Country	:	US
Telephone Number	:	208-232-2604
Fax Number	:	208-379-6041

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASON WEST
Credential	:	DC NMD
Telephone Number	:	208-232-2604

Provider Enumeration Date	:	01/19/2009
Last Update Date	:	01/19/2009

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Directions to “RIT CLINICS ” Practice Location

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