EDIE LUSTIG (NPI# 1164988663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164988663 |
| Entity Type | Individual |
| Full Name | EDIE LUSTIG |
| Practice Address |
711 N State St Grangeville ID 83530-1650 |
| Practice Telephone | 2085072160 |
| Mailing Telephone | 2085072160 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | WA116016B | ID | Transportation Services |
| Street Address |
711 N STATE ST |
| City | GRANGEVILLE |
| State | ID |
| Zip Code | 83530-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197424 | Tolo Tranportation LLC | Non-emergency Medical Transport (VAN) | 78 Poor Farm Rd, Grangeville, ID 83530 | 2016-07-25 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1528468139 | Joanne M Belch | Counselor | 83 Highway 95 North, Camas Professional Counseling, Grangeville, ID 83530 | 2014-09-02 |
| 1679875462 | Oi Min Anthony Chai | Physical Therapist | 183 Farrens Creek Lane, Grangeville, ID 83530 | 2010-11-30 |
| 1346569647 | Valleyview Recovery | Case Management | 109 S. Mill St., Grangeville, ID 83530 | 2010-05-26 |
| 1760503676 | Clearwater Counseling | Counselor | 318 E. Main, Grangeville, ID 83530 | 2007-04-02 |
| 1659452019 | Bradley J Schaff | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| 1518051366 | Wayne L Hollopeter | Family Medicine | 721 W. North Street, Grangeville, ID 83530 | 2006-10-03 |
| 1417252719 | Syringa General Hospital District Cif | General Acute Care Hospital | 607 West Main Street, Grangeville, ID 83530 | 2011-01-18 |
| 1669553020 | Allen Raymond Chenoweth | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| Find all providers in zip 83530 | ||||
| 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 |
| 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 |
| 1679909469 | Advanced Care Northwest LLC | Private Vehicle | 1009 Highway 2, Suite E, Sandpoint, ID 83864-2712 | 2013-09-24 |
| Find all providers with the same taxonomy | ||||
| City | GRANGEVILLE |
| Zip Code | 83530 |
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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.