ASHTON MEMORIAL, INC. (NPI# 1588991566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588991566 |
Entity Type | Organization |
Organization Name | ASHTON MEMORIAL, INC. |
Other Organization Name | ASHTON MEDICAL CLINIC |
Practice Address |
23 S. 8th Ashton ID 83420 |
Mailing Address |
Po Box 838 Ashton ID 83420-0838 |
Practice Telephone | 2086523396 |
Practice Fax Number | 2086527924 |
Mailing Telephone | 2086527461 |
Mailing Fax Number | 2086527595 |
Enumeration Date | 2009-11-11 |
Last Update Date | 2009-11-11 |
Authorized Official Name | MR. SHON L. SHULDBERG (ADMINISTRATOR) |
Authorized Official Telephone | 2086527461 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ashton Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245670793 | Ashton Memorial, Inc. | Psychiatry & Neurology | 1301 E 17th St Ste 4, Idaho Falls, ID 83404-6273 | 2013-06-28 |
1003907163 | Ashton Memorial, Inc. | Counselor | 2935 Rollandet St, Idaho Falls, ID 83402-4654 | 2006-09-27 |
Street Address |
23 S. 8TH |
City | ASHTON |
State | ID |
Zip Code | 83420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164811402 | Ashton Memorial, Inc | Pharmacy | 23 S. 8th St., Ashton, ID 83420 | 2015-01-09 |
1598903254 | Elise B. Klingler | Dietitian, Registered | 1051 N Hwy 20, Ashton, ID 83420 | 2009-02-03 |
1689884108 | Michelle M Rinas | Clinic/Center | 580 Main St., Ashton, ID 83420 | 2007-05-23 |
1184727240 | Robert Leland Comstock Jr | Pharmacy | 23 South 8th Street, Suite 2, Ashton, ID 83420 | 2006-09-06 |
1497791677 | Bradley J Rankin | Chiropractor | 608 Main Street, Ashton, ID 83420 | 2006-06-22 |
1497756803 | Ashton Memorial Inc | Skilled Nursing Facility | 700 N 2nd St, Ashton, ID 83420 | 2005-08-09 |
1598935652 | Fremont Medical Services PC | Clinic/Center | 23 S 8th St, Ashton, ID 83420 | 2008-03-05 |
1114138120 | Michelle M Rinas | Clinic/Center | 580 Main St., Ashton, ID 83420 | 2007-05-24 |
1356364798 | Precision Chiropractic | Chiropractor | 608 Main Street, Ashton, ID 83420 | 2006-07-26 |
1457428872 | Ashton Family Medical Center | Clinic/Center | 24 South 8th Str, Ashton, ID 83420-0610 | 2006-11-29 |
Find all providers in zip 83420 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1982026571 | Treasure Valley Family Health Care, LLC | Clinic/Center | 1055 N Echohawk Way, Eagle, ID 83616-5456 | 2014-01-16 |
1124303094 | N.e.x.t. Level Health Center, Inc. | Clinic/Center | 2105 Niagara, Idaho Falls, ID 83404 | 2011-10-11 |
1972821254 | Sohm Chiropractic Pa | Clinic/Center | 8382 W Ustick Rd, Suite 200, Boise, ID 83704-5986 | 2010-05-11 |
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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.