MIDVALLEY HEALTHCARE, PLLC (NPI# 1376850990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376850990 |
| Entity Type | Organization |
| Organization Name | MIDVALLEY HEALTHCARE, PLLC |
| Practice Address |
2321 E Gala St Ste 3 Meridian ID 83642-7692 |
| Mailing Address |
Po Box 16820 Boise ID 83715-6820 |
| Practice Telephone | 2083239130 |
| Practice Fax Number | 2083239070 |
| Mailing Telephone | 2083239130 |
| Mailing Fax Number | 2083239070 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | KRISTINA HARRINGTON (OWNER) |
| Authorized Official Telephone | 2083239130 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
2321 E GALA ST STE 3 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346573532 | Midvalley Healthcare Pllc | Clinic/Center | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2009-09-07 |
| 1649822479 | Angela Marie Grant | Nurse Practitioner | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2019-07-11 |
| 1649757279 | Gretchen Ruth Gayle | Nurse Practitioner | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2018-07-26 |
| 1487009478 | Cynthia Montgomery | Nurse Practitioner | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2016-04-27 |
| 1700256294 | Donald Baranco | Counselor | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2015-09-28 |
| 1881072288 | Shelly L. Hitt | Social Worker | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2015-05-18 |
| 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 | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740299262 | Meridian Psychological Center PC | Psychologist | 2770 E Franklin Rd, Meridian, ID 83642-5953 | 2006-08-05 |
| 1285944546 | Ascent Behavioral Health Services | Psychologist | 366 Sw 5th Ave, Suite 100, Meridian, ID 83642-8600 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326680422 | Crossroads Health Idaho LLC | Psychologist | 8950 W Emerald St Ste 178, Boise, ID 83704-8296 | 2019-10-10 |
| 1588967020 | Jx2 LLC | Psychologist | 1253 N Cole Rd, Suite 100, Boise, ID 83704-8647 | 2010-12-06 |
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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.