BYU IDAHO STUDENT HEALTH CENTER (NPI# 1538347034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538347034 |
| Entity Type | Organization |
| Organization Name | BYU IDAHO STUDENT HEALTH CENTER |
| Practice Address |
100 Shc Rexburg ID 83460-2010 |
| Practice Telephone | 2084961300 |
| Practice Fax Number | 2084961306 |
| Mailing Telephone | 2084961300 |
| Mailing Fax Number | 2084961306 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | SHAWN B ORR (DIRECTOR OF HEALTHCARE CENTER) |
| Authorized Official Telephone | 2084963434 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
100 SHC |
| City | REXBURG |
| State | ID |
| Zip Code | 83460-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558348649 | Hans Thurgood Redd | Internal Medicine | 100 Shc, Rexburg, ID 83460-2010 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405111 | Analee Fish | Nurse Practitioner | Byui Student Health Center, Rexburg, ID 83460-0001 | 2019-09-05 |
| 1760923635 | Shawn Andreasen | Pharmacist | Byu Idaho Student Health Center 179 Ctr, Rexburg, ID 83460-0001 | 2017-03-13 |
| 1992726962 | Byu Id Student Hlth Cntr PChy | Pharmacy | 179 Student Hlth Ctr, Rexburg, ID 83460-0001 | 2006-07-22 |
| 1528097102 | Terry J. Anderson | Physician Assistant | 100 Shc Drive Byui, Rexburg, ID 83460-2010 | 2006-07-03 |
| 1528044955 | David G Holland | Nurse Practitioner | Sch 100, Rexburg, ID 83460-2010 | 2005-12-19 |
| 1760467625 | Lori Ann Parker | Nurse Practitioner | Shc 100, Byu Idaho, Rexburg, ID 83460-2010 | 2005-12-13 |
| 1588654628 | Glade Southam | Nurse Practitioner | Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 | 2005-10-27 |
| 1043297138 | Nancy Nadine Olsen | Nurse Practitioner | Shc 100, Rexburg, ID 83460-2010 | 2005-12-29 |
| 1831175231 | Jud E Miller | Family Medicine | Shc 100, Brigham Young University Idaho, Rexburg, ID 83460-2010 | 2005-12-16 |
| 1700220209 | Colton D. Miller | Psychologist | 231 Student Health & Counseling Bldg, Rexburg, ID 83460-2020 | 2013-04-26 |
| Find all providers in zip 83460 | ||||
| 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 |
|---|---|---|---|---|
| 1457698987 | Fall River Medical, Pllc | Clinic/Center | 21 Winn Dr, Rexburg, ID 83440 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323216 | Wolf Pack LLC | Clinic/Center | 939 S 25th E Ste 115, Ammon, ID 83406-5736 | 2020-07-13 |
| 1831730118 | Falls Medical Aesthetics, Pllc | Clinic/Center | 814 Pancheri Dr, Idaho Falls, ID 83402-3344 | 2019-10-08 |
| 1164072187 | Peter John Leichtnam | Clinic/Center | 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 | 2019-09-12 |
| 1124674437 | Michael J. Moorhouse Inc. | Clinic/Center | 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 | 2019-08-13 |
| 1093368276 | Korena Popp Fnp Medical Services LLC | Clinic/Center | 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 | 2019-07-17 |
| 1528623915 | D & S Works | Clinic/Center | 5622 W State St, Boise, ID 83703-3010 | 2019-05-01 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1912487646 | Ideal Option, Pllc | Clinic/Center | 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 | 2018-08-21 |
| 1801376256 | Ideal Option, Pllc | Clinic/Center | 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 | 2018-08-15 |
| 1649759374 | North Canyon Mountain Home Clinic | Clinic/Center | 840 N 4th E, Mountain Home, ID 83647-2166 | 2018-08-13 |
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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.