ALBION VALLEY HEALTH CLINIC INC.


Address: 400 West 5th Street, Burley, ID 83318
Phone: 2083129740

ALBION VALLEY HEALTH CLINIC INC. (NPI# 1285024497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285024497
Entity Type Organization
Organization Name ALBION VALLEY HEALTH CLINIC INC.
Practice Address 400 West 5th Street
Burley
ID 83318
Mailing Address Po Box 43
Albion
ID 83311-0043
Practice Telephone 2083129740
Practice Fax Number 2086780910
Mailing Telephone 2083129740
Mailing Fax Number 2086780910
Enumeration Date 2015-01-26
Last Update Date 2015-03-23
Authorized Official Name AMANDA L WARD (OWNER)
Authorized Official Telephone 2083129740
Authorized Official Credential NP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
NP-1514A ID Ambulatory Health Care Facilities

Office Location

Street Address 400 WEST 5TH STREET
City BURLEY
State ID
Zip Code 83318

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1467961664 Sterling Physician Group Pllc Clinic/Center 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 2017-09-20

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Competitor

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City BURLEY
Zip Code 83318

Improve Information

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Dataset Information

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.

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