ANNA L BLACKFORD (NPI# 1114236429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114236429 |
Entity Type | Individual |
Full Name | ANNA L BLACKFORD |
Practice Address |
455 39 G Rd Sagle ID 83860-8960 |
Mailing Address |
Po Box 573 Ponderay ID 83852-0573 |
Practice Telephone | 2082901079 |
Mailing Telephone | 2082901079 |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 347C00000X | Private Vehicle | QK307464B | ID | Transportation Services |
Street Address |
455 39 G RD |
City | SAGLE |
State | ID |
Zip Code | 83860-8960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023417359 | Summit Counseling Center, LLC | Community/Behavioral Health | 231 Rivendell Road, Sagle, ID 83860 | 2014-08-22 |
1932436284 | Harold Glen Rainey Sr. | Massage Therapist | 351 Five Lakes Rd, Sagle, ID 83860 | 2009-11-06 |
1528075744 | Thomas J Leavitt | Internal Medicine | 284 Buck Run, Sagle, ID 83860 | 2006-08-01 |
1841414166 | Thomas J. Leavitt Md PC | Internal Medicine | 284 Buck Run, Sagle, ID 83860 | 2007-04-11 |
1568625283 | Julie R. Hoyle | Speech-Language Pathologist | 150 Denali Road, Sagle, ID 83860-0234 | 2008-07-02 |
1962629907 | Sagle Fire District | Ambulance | 2689 Gun Club Road, Sagle, ID 83860-8072 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023417359 | Summit Counseling Center, LLC | Community/Behavioral Health | 231 Rivendell Road, Sagle, ID 83860 | 2014-08-22 |
1932436284 | Harold Glen Rainey Sr. | Massage Therapist | 351 Five Lakes Rd, Sagle, ID 83860 | 2009-11-06 |
1568625283 | Julie R. Hoyle | Speech-Language Pathologist | 150 Denali Road, Sagle, ID 83860-0234 | 2008-07-02 |
1962629907 | Sagle Fire District | Ambulance | 2689 Gun Club Road, Sagle, ID 83860-8072 | 2007-04-19 |
1528075744 | Thomas J Leavitt | Internal Medicine | 284 Buck Run, Sagle, ID 83860 | 2006-08-01 |
1841414166 | Thomas J. Leavitt Md PC | Internal Medicine | 284 Buck Run, Sagle, ID 83860 | 2007-04-11 |
Taxonomy Code | 347C00000X |
Grouping | Transportation Services |
Classification | Private Vehicle |
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659880789 | Catherine Frances Bean | Private Vehicle | 5753 Alder Creek Rd, St. Maries, ID 83861 | 2017-09-20 |
1114451390 | Sagean Daw | Private Vehicle | 1624 Angela St, Chubbuck, ID 83202-4100 | 2017-04-14 |
1295276590 | Eagles Wings Transportation | Private Vehicle | 199 Valley Ct, Challis, ID 83226 | 2017-03-20 |
1730539867 | Tiger Medical Transportation LLC. | Private Vehicle | 5919 W Port Ln, #102, Boise, ID 83703-4971 | 2016-06-20 |
1013223718 | Rosalio L Diaz | Private Vehicle | 644 North 2865 East, Roberts, ID 83444-0108 | 2010-08-19 |
1598937120 | Larry M Freeman | Private Vehicle | 2455 Butte St, Pocatello, ID 83201-1842 | 2008-03-24 |
1962671750 | Patricia L. Gammett | Private Vehicle | 7323 Deer Flat Rd, Nampa, ID 83686-9453 | 2008-02-26 |
1770768624 | Gabrielle Durbin | Private Vehicle | W 7164 Diagonal, Rathdrum, ID 83858-0283 | 2008-01-09 |
1164988663 | Edie Lustig | Private Vehicle | 711 N State St, Grangeville, ID 83530-1650 | 2019-02-20 |
1679909469 | Advanced Care Northwest LLC | Private Vehicle | 1009 Highway 2, Suite E, Sandpoint, ID 83864-2712 | 2013-09-24 |
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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.