EAGLE RIVER ORGANIZATION, IND (NPI# 1346547098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346547098 |
| Entity Type | Organization |
| Organization Name | EAGLE RIVER ORGANIZATION, IND |
| Practice Address |
494 N Meridian St Blackfoot ID 83221-1627 |
| Practice Telephone | 2082008888 |
| Practice Fax Number | 2087856170 |
| Mailing Telephone | 2082008888 |
| Mailing Fax Number | 2087856170 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | MR. ROBERT A PERRENOUD (BOARD MEMBER) |
| Authorized Official Telephone | 2082008888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
494 N MERIDIAN ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599022 | Mary Koczyk | Community Health Worker | 2201 N Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2020-08-18 |
| 1154947950 | Jackie Lyn Kayne-sherar | Community Health Worker | 2025 W Park Pl Ste B, Coeur D Alene, ID 83814-2787 | 2020-06-18 |
| 1124662861 | Tracy A Bauhs | Community Health Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-11-06 |
| 1194367821 | Betty E Maxwell | Community Health Worker | 2205 N Ironwood Pl Ste A, Coeur D Alene, ID 83814-2487 | 2019-10-15 |
| 1619492824 | Renee Joy Stevens | Community Health Worker | 149 Mountain View Ln, Grangeville, ID 83530-5354 | 2017-08-08 |
| 1124561063 | Pavel L Zaverukha | Community Health Worker | 4933 W Astonte St, Meridian, ID 83646-7101 | 2016-11-26 |
| 1447708177 | Birdee Lynne Davis | Community Health Worker | 715 Cherry St, Pocatello, ID 83201-5646 | 2016-09-11 |
| 1003281544 | Rebekah Rary | Community Health Worker | 922 E Folgado Ct, Kuna, ID 83634-5181 | 2015-12-09 |
| 1285027672 | Kimberlee Brant | Community Health Worker | 5460 W Franklin Rd Ste H, Boise, ID 83705-1080 | 2015-03-10 |
| 1376945162 | Jeff Dean Webb | Community Health Worker | 412 22nd Ave S, Nampa, ID 83651-5424 | 2014-09-23 |
| 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.