COLLEGE OF WESTERN IDAHO-MEDICAL EXPRESS CARE CLINIC (NPI# 1548549249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548549249 |
| Entity Type | Organization |
| Organization Name | COLLEGE OF WESTERN IDAHO-MEDICAL EXPRESS CARE CLINIC |
| Practice Address |
2407 Nampa Caldwell Blvd No. 168 Nampa ID 83651-1515 |
| Practice Telephone | 2085622200 |
| Practice Fax Number | 2085622207 |
| Mailing Telephone | 2085622200 |
| Mailing Fax Number | 2085622207 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | MS. SHERIE BURKE (ADMINISTRATOR) |
| Authorized Official Telephone | 2085622707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
NP885A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | NPI | 1740475680 | 01 |
| Street Address |
2407 NAMPA CALDWELL BLVD NO. 168 |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043512692 | Abigail Louise Bell | Clinical Nurse Specialist | 801 Pole Line Rd W Ste 3810, Twin Falls, ID 83301-5811 | 2010-12-01 |
| 1720230766 | Kathy D Archibald | Clinical Nurse Specialist | 2302 E Terry St, Pocatello, ID 83201-2733 | 2008-10-22 |
| 1467064568 | Rick D Bassett | Clinical Nurse Specialist | 720 E Park Blvd, Boise, ID 83712-7758 | 2020-08-19 |
| 1306274006 | Jocelyn L Mccullough | Clinical Nurse Specialist | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2013-10-16 |
| 1447598016 | Christine Clair Shirazi | Clinical Nurse Specialist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2013-01-16 |
| 1962709550 | Jane Kelsey Spencer | Clinical Nurse Specialist | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2011-02-17 |
| 1275836157 | Debra Lynn Rodriguez | Clinical Nurse Specialist | 777 Hospital Way, Pocatello, ID 83201-5162 | 2010-12-14 |
| 1902039951 | Cynthia Love Barron | Clinical Nurse Specialist | 777 Hospital Way Bldg A, 101, Pocatello, ID 83201-2753 | 2009-08-25 |
| 1548493521 | Brenda Bergholm | Clinical Nurse Specialist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2009-08-25 |
| 1659540292 | Pocatello Cardiology Associates | Clinical Nurse Specialist | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2008-02-28 |
| 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.