SAGEAN DAW


Address: 1624 Angela St, Chubbuck, ID 83202-4100
Phone: 2086808637

SAGEAN DAW (NPI# 1114451390) 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) 1114451390
Entity Type Individual
Full Name SAGEAN DAW
Practice Address 1624 Angela St
Chubbuck
ID 83202-4100
Practice Telephone 2086808637
Mailing Telephone 2086808637
Enumeration Date 2017-04-14
Last Update Date 2017-04-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle EA126126I ID Transportation Services

Office Location

Street Address 1624 ANGELA ST
City CHUBBUCK
State ID
Zip Code 83202-4100

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1700379682 Vera Whole Health, Wa PC Clinic/Center 219 Phil Meador Ave, Pocatello, ID 83202 2018-06-14
1649712597 Angie M Mccurdy Audiologist 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 2016-11-09
1285180836 Beverly Grigg Jones Counselor 210 W. Burnside, Chubbuck, ID 83202 2016-09-01
1376992503 Andrea Walsh Nurse Practitioner 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 2016-06-08
1215381181 Specialized Physical Therapy Pllc Clinic/Center 4141 Poleline Rd Ste A, Pocatello, ID 83202 2016-04-18
1457713588 Jennifer Ann Gould Radiologic Technologist 907 Ryan Street, Chubbuck, ID 83202 2016-03-28
1154714897 Phoenix Management LLC Day Training, Developmentally Disabled Services 10991 Deerridge Dr., Chubbuck, ID 83202 2015-03-05
1750781449 Jennifer Lynn Seaich Counselor 4460 Center Way, Center Counseling, Pocatello, ID 83202 2014-08-29
1336562412 Kurt Layton Counselor 337 Joel, Chubbuck, ID 83202 2014-01-27
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659880789 Catherine Frances Bean Private Vehicle 5753 Alder Creek Rd, St. Maries, ID 83861 2017-09-20
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
1114236429 Anna L Blackford Private Vehicle 455 39 G Rd, Sagle, ID 83860-8960 2010-10-04
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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Competitor

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City CHUBBUCK
Zip Code 83202

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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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