IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA (NPI# 1205996063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205996063 |
| Entity Type | Organization |
| Organization Name | IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA |
| Practice Address |
3041 East Copper Pointe Drive Meridian ID 83642 |
| Practice Telephone | 2085144400 |
| Practice Fax Number | 2085144404 |
| Mailing Telephone | 2085144400 |
| Mailing Fax Number | 2085144404 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | MR. RAYMOND PAUL HOOFT (OWNER, CEO) |
| Authorized Official Telephone | 2085144400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | CLIA NUMBER | 13D1049440 | 01 |
| Street Address |
3041 EAST COPPER POINTE DRIVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1790284693 | The Clarkdale Clinic, LLC | Clinic/Center | 6905 Highway 145 S, Meridian, MS 39301-9771 | 2018-02-06 |
| 1952739229 | Meridian Weight Management Center | Clinic/Center | 1715 23rd Ave, Meridian, MS 39301-3104 | 2013-10-24 |
| 1750512877 | Marianne Zakarian, M.d., P.C. | Clinic/Center | 2536 N Stokesberry Pl, Meridian, ID 83646-1144 | 2009-08-06 |
| 1316113368 | Upper Cervical Clinics of Idaho | Clinic/Center | 3023 E Copper Point Dr Ste 104, Meridian, ID 83642-1740 | 2008-04-30 |
| 1801919204 | Meridian Pediatrics | Clinic/Center | 3653 N Locust Grove Rd, Meridian, ID 83646-5924 | 2007-04-09 |
| 1710352356 | Anderson Regional Medical Center | Clinic/Center | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2015-12-08 |
| 1093038234 | Magnolia Clinic | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-03-02 |
| 1083852982 | Embrace Wellness | Clinic/Center | 1943 N Locust Grove Rd, Meridian, ID 83646 | 2009-01-30 |
| 1962622019 | Communicare, Inc | Clinic/Center | 40 W Franklin Rd, Suite F, Meridian, ID 83642-2965 | 2007-04-30 |
| Find all providers in MERIDIAN | ||||
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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.