SLEEP DISORDER CENTER OF EASTERN IDAHO, INC. (NPI# 1427100270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427100270 |
| Entity Type | Organization |
| Organization Name | SLEEP DISORDER CENTER OF EASTERN IDAHO, INC. |
| Practice Address |
2001 S Woodruff Ste 11 Idaho Falls ID 83404 |
| Practice Telephone | 2085248044 |
| Practice Fax Number | 2085258896 |
| Mailing Telephone | 2085248044 |
| Mailing Fax Number | 2085258896 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | SANDRA M JACKSON (OWNER) |
| Authorized Official Telephone | 2085248044 |
| Authorized Official Credential | POLYSOMNOGRAPHIS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 8A646 | 01 | |
| BLUE SHIELD | 000010001762 | 01 | |
| ID | 805240900 | 05 |
| Street Address |
2001 S WOODRUFF STE 11 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707099 | Judy Lee Jones | Family Medicine | 2001 S Woodruff, Suite 19, Idaho Falls, ID 83404 | 2006-02-06 |
| 1871915694 | Club Inc | Clinic/Center | 2001 S Woodruff, Suite 6, Idaho Falls, ID 83404 | 2014-01-14 |
| 1912238544 | Roger H. Tall M.d. P.a. | Specialist | 2001 S Woodruff, Suite 8, Idaho Falls, ID 83404 | 2010-01-21 |
| 1710072954 | Teton Nuclear Medicine Service | Nuclear Medicine | 2001 S Woodruff, Suite 20, Idaho Falls, ID 83404 | 2006-10-04 |
| 1972604494 | Roger H Tall | Urology | 2001 S Woodruff, Suite 8, Idaho Falls, ID 83404 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922601 | Premier Home Sleep Testing | Clinic/Center | 644 Monte Vista Dr, Twin Falls, ID 83301-4345 | 2015-01-22 |
| 1316195035 | Inland Sleep Center, LLC | Clinic/Center | 609 N Calgary Ct, Suite 103, Post Falls, ID 83854-4906 | 2008-09-06 |
| 1740335991 | Idaho Diagnostic Sleep Lab, Inc. | Clinic/Center | 2423 S Georgia Ave, Caldwell, ID 83605-4477 | 2007-01-25 |
| 1992850671 | Idaho Diagnostic Sleep Lab, Inc. | Clinic/Center | 526 Shoup Ave W Ste C, Twin Falls, ID 83301-5050 | 2007-01-24 |
| 1972650521 | Patricia Ann Morgan | Clinic/Center | 1211 Michigan St, Suite A, Sandpoint, ID 83864-5185 | 2007-01-05 |
| 1942782735 | Idaho Sleep Specialists PC | Clinic/Center | 403 S 11th St Ste 210, Boise, ID 83702-6968 | 2018-08-29 |
| 1285958991 | The Health and Wellness Sleep Institute of Pocatello LLC | Clinic/Center | 1553 E Center St, Pocatello, ID 83201-4135 | 2010-03-24 |
| 1396900742 | Kimberly A. Vorse Md PC | Clinic/Center | 380 Washington Ave, Suite 201, Ketchum, ID 83340 | 2008-07-25 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on SLEEP DISORDER CENTER OF EASTERN IDAHO, INC..
| 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.