URGENT CARE OF JEROME (NPI# 1538578687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538578687 |
Entity Type | Organization |
Organization Name | URGENT CARE OF JEROME |
Practice Address |
133 W Avenue A Suite B Jerome ID 83338-2630 |
Mailing Address |
Po Box 773 Jerome ID 83338-5483 |
Practice Telephone | 2086786996 |
Practice Fax Number | 2086786866 |
Mailing Telephone | 2086786996 |
Mailing Fax Number | 2086786866 |
Enumeration Date | 2014-08-02 |
Last Update Date | 2014-12-24 |
Authorized Official Name | MR. KYLE D JAMES (CO-OWNER) |
Authorized Official Telephone | 2086786996 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | O-154 | ID | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | M-9766 | ID | Allopathic & Osteopathic Physicians |
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ID | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | CLIA | 13D2082421 | 01 |
ID | 1538578687 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730556036 | Urgent Care of Jerome | Clinic/Center | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2015-08-22 |
Street Address |
133 W AVENUE A SUITE B |
City | JEROME |
State | ID |
Zip Code | 83338-2630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902832314 | Red Rock Pharmacy Incorporated | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2601 | 2006-06-25 |
1316507734 | Readings Community Pharmacy Inc | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2630 | 2019-06-18 |
1801344924 | Jason Reading | Pharmacist | 133 W Avenue A, Jerome, ID 83338-2630 | 2016-09-19 |
1053548073 | Red Rock Pharmacy Incorporated | Pharmacy | 133 W Avenue A, Jerome, ID 83338-2601 | 2009-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
Find all providers in zip 83338 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780291088 | Bloom Care LLC | Clinic/Center | 1610 Caldwell Blvd, Nampa, ID 83651-1728 | 2020-09-30 |
1679134126 | Bloom Care LLC | Clinic/Center | 6965 N Glenwood St, Boise, ID 83714-1967 | 2019-06-25 |
1770044703 | Two Rivers Medical Group | Clinic/Center | 151 W Galvani Dr Ste 151, Meridian, ID 83642-8008 | 2019-03-31 |
1912481292 | Falls Avenue Immediate Care Pa | Clinic/Center | 260 Falls Ave Ste D, Twin Falls, ID 83301-3370 | 2018-09-21 |
1396290953 | Gem Express Medical Group | Clinic/Center | 829b S Washington Ave, Emmett, ID 83617-3528 | 2016-08-23 |
1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
1750621744 | Lakeland Immediate Care LLC | Clinic/Center | 15636 N Highway 41 Ste 100, Rathdrum, ID 83858-8710 | 2013-02-27 |
1790043693 | River View Urgent Care & Medical Center Inc | Clinic/Center | 382 N Overland Ave, Burley, ID 83318-3433 | 2012-04-27 |
1841596186 | Magic Valley Urgent Care, Pllc | Clinic/Center | 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 | 2011-02-03 |
1437214475 | Tamarack Medical Clinic | Clinic/Center | 610 Village Dr, Donnelly, ID 83615 | 2006-12-27 |
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.