1958


Address: 730 E Clark St, #4657, Pocatello, ID 83205-5401
Phone: 6198384593

1958 (NPI# 1013306307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013306307
Entity Type Organization
Organization Name 1958
Practice Address 730 E Clark St
#4657
Pocatello
ID 83205-5401
Mailing Address 9344 National Blvd Apt 11
Los Angeles
CA 90034-2925
Practice Telephone 6198384593
Mailing Telephone 6198384593
Enumeration Date 2015-01-09
Last Update Date 2015-01-09
Authorized Official Name LORAINE POWELL (REGISTERED NURSE)
Authorized Official Telephone 6198384593
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NR1301X General Acute Care Hospital
Specialization: Rural
728144 CA Hospitals

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities 1958 17936 150th St, Danville, IA 52623-9147
Colorado Business Entities 1958 Barbershop, LLC 1592 Greystone Dr, Carbondale, CO 81623-1832
New York State Corporations 1958 CONSTRUCTION INC 13235 Sanford Ave 4b, Flushing, Ny 11355
New York State Corporations 1958 CROSS BRONX EXPY LLC 31 Preston Lane, Syosset, Ny 11791
New York State Corporations 1958 CROSSBRONX EXPRESSWAY CORP. 1958 Crossbronx Expressway, Bronx, Ny 10472
Connecticut Business Registrations 1958 DINER LLC 361 Boston Post Rd, North Windham, CT 06256
New York State Corporations 1958 EASTCHESTER ROAD ASSET, LLC P.o. Box 817, Yonkers, New York 10704
New York State Corporations 1958 EGGERT ROAD, LLC 709 Cleveland Drive, Cheektowaga, Ny 14225
Colorado Business Entities 1958 LLC 1250 E. 130th Ave C, Thornton, CO 80241
System for Award Management (SAM) Entities 1958 LLC, A COLORADO LIMITED LIABILITY COMPANY 1250 E 130th Ave Unit C, Thornton, CO 80241-1152

Office Location

Street Address 730 E CLARK ST
#4657
City POCATELLO
State ID
Zip Code 83205-5401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417155284 Stephen M Maloff Md Pa Plastic Surgery 1950 E Clark Street, Suite A, Pocatello, ID 83205 2007-07-03
1528054830 Super Save Drug Durable Medical Equipment & Medical Supplies 701 East Center, Pocatello, ID 83205-4869 2005-09-22
1912993213 Super Save Drug, Inc Pharmacy 701 East Center St., Pocatello, ID 83205-4869 2005-09-22
1689945883 Thomas John Mcdevitt Otolaryngology 237 South 7th Ave., Thomas J. Mcdevitt, Pocatello, ID 83205-4928 2012-01-19

Providers in the same city

NPI Name Taxonomy Address Enumeration
1265033484 Ala, LLC Case Management 818 E Lander St, Pocatello, ID 83201-5763 2020-11-04
1639779523 Tracie Lyn Hansen Peer Specialist 560 Fairway Dr, Pocatello, ID 83201-2012 2020-10-29
1104424191 Jo Anna Shotiveyaratana Counselor 707 W Wyeth St, Pocatello, ID 83204-3058 2020-10-13
1811595929 Idaho State University Counselor 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 2020-10-12
1871190215 Cardiovascular Specialists of America, LLC Internal Medicine 1515 E Clark St, Pocatello, ID 83201-4133 2020-10-08
1568078046 Peter Chad Adamovich Pharmacist 3553 Summit Dr, Pocatello, ID 83201-8011 2020-09-19
1639784648 Alyssa Mabey Occupational Therapy Assistant 659 Fairway Dr, Pocatello, ID 83201-2049 2020-09-15
1023622321 Jessica Michelle Wilson-lucero Psychologist 395 1/2 Willard Ave, Pocatello, ID 83201-4524 2020-09-03
1316551187 Atropos Mental Health Case Management 217 S 9th Ave, Pocatello, ID 83201-5351 2020-08-31
1265045199 Julia Claire Brodie Physician Assistant 2352 N Apple Ln, Pocatello, ID 83204-7231 2020-08-29
Find all providers in POCATELLO

Taxonomy Information

Taxonomy Code 282NR1301X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Rural

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558582429 Bonner General Hospital, Inc General Acute Care Hospital 520 N 3rd Ave, Sandpoint, ID 83864-1507 2007-05-01

Competitor

Search similar providers

City POCATELLO
Zip Code 83205

Improve Information

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Dataset Information

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.

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