CASCADE MEDICAL CENTER HOSPITAL DISTRICT (NPI# 1003988825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003988825 |
| Entity Type | Organization |
| Organization Name | CASCADE MEDICAL CENTER HOSPITAL DISTRICT |
| Practice Address |
402 Lake Cascade Pkwy Cascade ID 83611-7702 |
| Mailing Address |
Po Box 1330 Cascade ID 83611-1330 |
| Practice Telephone | 2083824242 |
| Mailing Telephone | 2083824242 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-01-03 |
| Authorized Official Name | MR. CHARLES JOHNSTON (CEO) |
| Authorized Official Telephone | 2083824242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 34 | ID | Allopathic & Osteopathic Physicians |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689720435 | Cascade Medical Center Hospital District | General Acute Care Hospital | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2007-01-26 |
| Street Address |
402 LAKE CASCADE PKWY |
| City | CASCADE |
| State | ID |
| Zip Code | 83611-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720432230 | Chantell Williams | Nurse Practitioner | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2016-04-20 |
| 1245556141 | Ron K Ellsworth | Family Medicine | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2010-04-16 |
| 1689720435 | Cascade Medical Center Hospital District | General Acute Care Hospital | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861917551 | Skyler Tidd | Physical Therapist | 402 Lake Cascade Parkway, Cascade, ID 83611 | 2017-08-03 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1952540650 | Cascade School District #422 | Local Education Agency (LEA) | 209 N School Street, Cascade, ID 83611 | 2009-02-19 |
| 1962629527 | Cornerstone Family & Cosmetic Dentistry | Dentist | 220 South Main Street, Cascade, ID 83611 | 2007-04-18 |
| 1437221231 | Katherine Farmer | Physical Therapist | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-15 |
| 1760586994 | Cascade Rural Fire Protection District | Ambulance | 109 E Pine, Cascade, ID 83611 | 2006-09-08 |
| 1740270610 | Linda S Guest | Nurse Practitioner | 514 Skyline Drive, Cascade, ID 83611 | 2005-10-24 |
| 1184282170 | Cascade Family Dental | Dentist | 839 S Main St, Cascade, ID 83611 | 2019-06-04 |
| 1356581326 | Two Rivers Dental | Clinic/Center | 220 S Main St, Cascade, ID 83611 | 2009-03-03 |
| 1265685762 | Nicole Denise Rota | Physician Assistant | 402 Old State Hwy, Cascade, ID 83611 | 2008-10-28 |
| Find all providers in zip 83611 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323216 | Wolf Pack LLC | Clinic/Center | 939 S 25th E Ste 115, Ammon, ID 83406-5736 | 2020-07-13 |
| 1831730118 | Falls Medical Aesthetics, Pllc | Clinic/Center | 814 Pancheri Dr, Idaho Falls, ID 83402-3344 | 2019-10-08 |
| 1164072187 | Peter John Leichtnam | Clinic/Center | 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 | 2019-09-12 |
| 1124674437 | Michael J. Moorhouse Inc. | Clinic/Center | 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 | 2019-08-13 |
| 1093368276 | Korena Popp Fnp Medical Services LLC | Clinic/Center | 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 | 2019-07-17 |
| 1528623915 | D & S Works | Clinic/Center | 5622 W State St, Boise, ID 83703-3010 | 2019-05-01 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1912487646 | Ideal Option, Pllc | Clinic/Center | 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 | 2018-08-21 |
| 1801376256 | Ideal Option, Pllc | Clinic/Center | 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 | 2018-08-15 |
| 1649759374 | North Canyon Mountain Home Clinic | Clinic/Center | 840 N 4th E, Mountain Home, ID 83647-2166 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.