FRANKLIN COUNTY MEDICAL CENTER (NPI# 1144663543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144663543 |
| Entity Type | Organization |
| Organization Name | FRANKLIN COUNTY MEDICAL CENTER |
| Other Organization Name | WILLOW VALLEY |
| Practice Address |
47 N 1st E Preston ID 83263-1325 |
| Mailing Address |
44 N 1st E Preston ID 83263-1326 |
| Practice Telephone | 2088520137 |
| Practice Fax Number | 2088523812 |
| Mailing Telephone | 2088520137 |
| Mailing Fax Number | 2088523812 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | TARA HARRIS (CLINIC BILLER) |
| Authorized Official Telephone | 2088524192 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANKLIN COUNTY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Willow Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376579003 | Franklin County Medical Center | Pharmacy | 44 N 1st E, Preston, ID 83263-1326 | 2006-06-24 |
| 1093056475 | Franklin County Medical Center | Obstetrics & Gynecology | 47 N 1st E, Preston, ID 83263-1325 | 2013-03-08 |
| 1548355811 | Franklin County Medical Center | Home Health | 44 N 1st E, Preston, ID 83263 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRANKLIN COUNTY MEDICAL CENTER | 44 N 1st St E, Preston, ID 83263-1326 |
| Street Address |
47 N 1ST E |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1093056475 | Franklin County Medical Center | Obstetrics & Gynecology | 47 N 1st E, Preston, ID 83263-1325 | 2013-03-08 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1346465887 | Leo E Robertson IIi | Physical Therapist | 134 S State St, Preston, ID 83263 | 2007-04-17 |
| 1568558120 | Douglas Winward | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-04 |
| 1548355811 | Franklin County Medical Center | Home Health | 44 N 1st E, Preston, ID 83263 | 2006-10-04 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
| 1063970143 | Idaho Street Medical Clinic | Clinic/Center | 126 Idaho Ave., Homedale, ID 83628-8362 | 2019-03-07 |
| 1568950566 | North Canyon Medical Center, Inc. | Clinic/Center | 718 Hwy 30, Buhl, ID 83316 | 2018-04-25 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1700206588 | Mvh Bmc LLC | Clinic/Center | 210 S Emerson Ave, Shelley, ID 83274-1229 | 2014-04-21 |
| 1922243088 | Bmh Inc | Clinic/Center | 1355 Parkway Dr, Blackfoot, ID 83221-1656 | 2008-12-03 |
| 1023271731 | Upper Valley Family Medicine Rhc | Clinic/Center | 530 Rigby Lake Dr, Rigby, ID 83442-1271 | 2008-07-03 |
| 1891984167 | Bmh Inc | Clinic/Center | 1425 Parkway Drive, Blackfoot, ID 83221-1758 | 2007-10-23 |
| 1043387426 | Minidoka Memorial Hospital | Clinic/Center | 1308 8th St, Suite 1, Rupert, ID 83350-1530 | 2006-11-29 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 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.