CEDAR HEALTH CENTER (NPI# 1184764755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184764755 |
| Entity Type | Organization |
| Organization Name | CEDAR HEALTH CENTER |
| Practice Address |
427 N Arthur Ave Ste B Pocatello ID 83204-3006 |
| Practice Telephone | 2082332998 |
| Practice Fax Number | 2082320881 |
| Mailing Telephone | 2082332998 |
| Mailing Fax Number | 2082320881 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN WERNER-LEAP (DIRECTOR) |
| Authorized Official Telephone | 2082332998 |
| Authorized Official Credential | CNS, NPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
CNS-15A,N-28258 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | NPSB4 | 01 |
| ID | REGENCE BLUE SHIELD | 00001014993 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154612232 | Cedar Health Center | Clinic/Center | 2530 E 7th Ave, Flagstaff, AZ 86004-3719 | 2011-04-25 |
| 1013063585 | Cedar Health Center | Case Manager/Care Coordinator | 427 N Arthur Ave, Suite B, Pocatello, ID 83204-3006 | 2007-01-26 |
| Street Address |
427 N ARTHUR AVE STE B |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851447585 | Kathleen Werner-leap | Nurse Practitioner | 427 N Arthur Ave Ste B, Pocatello, ID 83204-3006 | 2007-01-26 |
| 1528107158 | Marina J. Ellis | Counselor | 427 N Arthur Ave Ste B, Pocatello, ID 83204-3006 | 2007-02-06 |
| 1518006113 | Portneuf River Center | Clinical Nurse Specialist | 427 N Arthur Ave Ste B, Pocatello, ID 83204-3006 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518006113 | Portneuf River Center | Clinical Nurse Specialist | 427 N Arthur Ave Ste B, Pocatello, ID 83204-3006 | 2007-02-06 |
Please comment or provide details below to improve the information on CEDAR HEALTH CENTER.
| 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.