VALLEY VISTA CARE CORPORATION (NPI# 1134296437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134296437 |
| Entity Type | Organization |
| Organization Name | VALLEY VISTA CARE CORPORATION |
| Other Organization Name | VALLEY VISTA CARE SERVICES - FAMILY PRACTICE |
| Practice Address |
820 Elm St St Maries ID 83861-2119 |
| Practice Telephone | 2082454576 |
| Practice Fax Number | 2082452138 |
| Mailing Telephone | 2082454576 |
| Mailing Fax Number | 2082452138 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GAIL MILLS (CORPORATE COMPLIANCE MANAGER) |
| Authorized Official Telephone | 2082454576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M-5955 | ID | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | O-130 | ID | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Valley Vista Care Services - Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780751966 | Valley Vista Care Corporation | Assisted Living Facility | 4433 Beverland Road, Mackay, ID 83251-0239 | 2006-11-30 |
| 1194892489 | Valley Vista Care Corporation | Community/Behavioral Health | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| 1881761476 | Valley Vista Care Corporation | Assisted Living Facility | 3668 W. 3700 N., Darlington, ID 83255-0909 | 2006-11-29 |
| 1770599409 | Valley Vista Care Corporation | Skilled Nursing Facility | 820 Elm St, St Maries, ID 83861-2119 | 2006-08-01 |
| 1497761050 | Valley Vista Care Corporation | Skilled Nursing Facility | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2006-08-01 |
| 1194056598 | Valley Vista Care Corporation | Skilled Nursing Facility | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2010-01-25 |
| 1336216621 | Valley Vista Care Corporation | Clinic/Center | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| Street Address |
820 ELM ST |
| City | ST MARIES |
| State | ID |
| Zip Code | 83861-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770599409 | Valley Vista Care Corporation | Skilled Nursing Facility | 820 Elm St, St Maries, ID 83861-2119 | 2006-08-01 |
| 1073718391 | Valley Vista Therapy Services | Preventive Medicine | 820 Elm St, St Maries, ID 83861-2119 | 2007-06-18 |
| 1790852481 | David H. Wetterlin | Physical Therapist | 820 Elm St, St Maries, ID 83861-2119 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880789 | Catherine Frances Bean | Private Vehicle | 5753 Alder Creek Rd, St. Maries, ID 83861 | 2017-09-20 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1881752913 | Richard K Thurston | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1851337208 | Robert D Magwire | Optometrist | 704 College, St Maries, ID 83861 | 2006-06-22 |
| 1205810025 | William Walter Wheeler | Surgery | 229 S. 7th Street, St. Maries, ID 83861 | 2005-12-05 |
| 1952469082 | John Richard Katovich Jr. | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1255351458 | William Scott Spence | Family Medicine | 229 S. 7th Street, St. Maries, ID 83861 | 2006-07-20 |
| 1992756233 | Terry L Spohr | Physician Assistant | 229 S. 7th Street, St. Maries, ID 83861 | 2006-05-12 |
| 1699723411 | David James Luther | Family Medicine | 229 S. 7th Street, Saint Maries, ID 83861 | 2006-05-04 |
| 1629627666 | Valerie Kay Sanchez | Technician/Technologist | 305 N 19th St, St Maries, ID 83861-1156 | 2019-09-11 |
| Find all providers in zip 83861 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974191 | Terry Evert Davenport | Family Medicine | 229 S 8th St, St Maries Family Medicine, St Maries, ID 83861-1813 | 2005-09-30 |
| 1114996428 | Karen D Libsch | Family Medicine | 229 S 8th St, St Maries, ID 83861-1813 | 2006-03-17 |
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| 1669038220 | Savannah M Klinginsmith | Family Medicine | 17866 Polara Way, Nampa, ID 83687-9159 | 2019-05-18 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1588227656 | Traci H Permenter | Family Medicine | 943 N Linder Rd Ste 103, Kuna, ID 83634-3395 | 2019-04-15 |
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 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.