FRANKLIN COUNTY MEDICAL CENTER (NPI# 1548355811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548355811 |
| Entity Type | Organization |
| Organization Name | FRANKLIN COUNTY MEDICAL CENTER |
| Other Organization Name | WILLOW VALLEY FAMILY MEDICINE & OBSTETRICS |
| Practice Address |
44 N 1st E Preston ID 83263 |
| Mailing Address |
44 N 1st E Preston ID 83263-1326 |
| Practice Telephone | 2088520137 |
| Practice Fax Number | 2088523812 |
| Mailing Telephone | 2088520137 |
| Mailing Fax Number | 2088523812 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | PAUL SMART (CFO) |
| Authorized Official Telephone | 2088520137 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRANKLIN COUNTY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002859700 | 05 | |
| ID | BLUE SHIELD PHYSICIAN | 000010006659 | 01 |
| ID | BLUE SHIELD IP/OP | 000010006660 | 01 |
| ID | 002860200 | 05 | |
| ID | BLUE-X IP/OP | 00422 | 01 |
| ID | D02859600 | 05 | |
| ID | 002860600 | 05 | |
| ID | BLUE-X PHYSICIAN | 8L170 | 01 |
| Other Name | Type Code |
|---|---|
| Willow Valley Family Medicine & Obstetrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376579003 | Franklin County Medical Center | Pharmacy | 44 N 1st E, Preston, ID 83263-1326 | 2006-06-24 |
| 1144663543 | Franklin County Medical Center | Clinic/Center | 47 N 1st E, Preston, ID 83263-1325 | 2013-04-16 |
| 1093056475 | Franklin County Medical Center | Obstetrics & Gynecology | 47 N 1st E, Preston, ID 83263-1325 | 2013-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FRANKLIN COUNTY MEDICAL CENTER | 44 N 1st St E, Preston, ID 83263-1326 |
| Street Address |
44 N 1ST E |
| City | PRESTON |
| State | ID |
| Zip Code | 83263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376579003 | Franklin County Medical Center | Pharmacy | 44 N 1st E, Preston, ID 83263-1326 | 2006-06-24 |
| 1720590037 | Mountain View Foot and Ankle Specialists Inc | Podiatrist | 44 N 1st E, Preston, ID 83263-1326 | 2017-10-26 |
| 1720320260 | Kimberly Gary Allen | Pharmacist | 44 N 1st E, Pharmacy, Preston, ID 83263-1326 | 2013-03-22 |
| 1104840487 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 N 1st E, Preston, ID 83263-1326 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
| 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.