CHANCE ENTERPRISES, LLC


Address: 1000 State St, Mccall, ID 83638-3704
Phone: 2086342221

CHANCE ENTERPRISES, LLC (NPI# 1629001854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629001854
Entity Type Organization
Organization Name CHANCE ENTERPRISES, LLC
Practice Address 1000 State St
Mccall
ID 83638-3704
Mailing Address Po Box 9649
Boise
ID 83707-4649
Practice Telephone 2086342221
Mailing Telephone 2084728127
Mailing Fax Number 2083441926
Enumeration Date 2006-07-09
Last Update Date 2020-08-22
Authorized Official Name DR. PAUL TRAUGHBER (OWNER)
Authorized Official Telephone 2086342221
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CHANCE ENTERPRISES, LLC 7713 Longbottom Rd, Elkridge, MD 21075-7999

Office Location

Street Address 1000 STATE ST
City MCCALL
State ID
Zip Code 83638-3704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538107362 Paul D Traughber Radiology 1000 State St, Mccall, ID 83638-3704 2006-06-03
1376163618 Andrea Lingle Pharmacist 1000 State St, Mccall, ID 83638-3704 2020-04-16
1780224618 Heidi Lee Galyardt Pharmacist 1000 State St, Mccall, ID 83638-3704 2020-01-08
1942849781 Megan Hatt Pharmacist 1000 State St, Mccall, ID 83638-3704 2019-12-26
1821636853 Jesse Cook Pharmacist 1000 State St, Mccall, ID 83638-3704 2019-12-20
1770927964 Susan Mccandless Dietitian, Registered 1000 State St, Mccall, ID 83638-3704 2013-04-18
1881982510 St Lukes Clinic - Mccall LLC Emergency Medicine 1000 State St, Mccall, ID 83638-3704 2011-07-15
1043528011 St Lukes Mccall, Ltd Medicare Defined Swing Bed Unit 1000 State St, Mccall, ID 83638-3704 2010-09-23
1417265810 St Lukes Mccall, Ltd Anesthesiology 1000 State St, Mccall, ID 83638-3704 2010-09-20
1235447970 St Lukes Mccall Ltd General Acute Care Hospital 1000 State St, Mccall, ID 83638-3704 2010-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255897708 Seanne Jo Safaii Dietitian, Registered 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 2019-02-20
1053881284 Debra Ann Jones Yensen Counselor 1242 Herrick Street N, Mccall, ID 83638 2018-11-30
1306369681 Cheyene Joseph Nickerson Pharmacist 132 East Lake Street, Mccall, ID 83638 2017-07-19
1669923892 Amy Leigh Forkan Massage Therapist 301 E Park St., Mccall, ID 83638 2016-10-24
1770982597 Rachel L Smith Acupuncturist 106 E. Park St, Suite 102, Mc Call, ID 83638 2014-08-18
1275944498 Central Idaho Counseling, Pllc Social Worker 125 Commerce St., Suite B, Mccall, ID 83638 2014-05-09
1548690829 Sze Wan Chan Pharmacist 1001 North 2nd Street, Mccall, ID 83638 2013-11-22
1467882274 Tamara Nagoda Speech-Language Pathologist 304 Edgewater Circle, Mccall, ID 83638 2013-11-14
1457537896 Thomas L Moore Counselor 310 E. Lake St., Tom Moore, Mccall, ID 83638 2008-01-16
1659581585 Barbara Gail Norton Social Worker 125 Commerce St, Suite B, Mccall, ID 83638 2007-05-22
Find all providers in zip 83638

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538107362 Paul D Traughber Radiology 1000 State St, Mccall, ID 83638-3704 2006-06-03
1568634855 Adam Weller Radiology 1000 State St, Mccall, ID 83638-3704 2008-03-27
1750490801 Gregory D Mckim Radiology 1000 State St, Dept of Radiology, Mccall, ID 83638-3704 2006-08-30
1366475584 Planet Three Radiology, Inc. Radiology 1000 State St, Mccall, ID 83638-3704 2006-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518597285 Katie Clegg Radiology 593 W 24th St, Burley, ID 83318-2803 2020-01-22
1376920553 Creighton Lewis Radiology 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 2015-04-27
1598176448 Derek A Khorsand Radiology Kootenai Health, 2003 Kootenai Way, Coeur D'alene, ID 83814 2014-05-14
1578903191 Miriam Bryna Hulkower Radiology 1839 N Govt Way Ste B, Coeur D Alene, ID 83814-3454 2013-06-27
1750647913 Philip John Dougherty Radiology 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814-4401 2012-04-02
1356510143 Newell Kay Richardson Radiology 2088 E 49th South, Idaho Falls, ID 83404-7649 2008-02-26
1477733574 Cameron J Evans Radiology 4121 N 2600 E, Filer, ID 83328-5155 2007-11-06
1295926061 Michael Modica Radiology 877 W Main St, Suite 603, Boise, ID 83702-5883 2007-08-07
1972709590 Stephen Arthur Sherman Radiology 4685 Flora Dr, Pocatello, ID 83204-4568 2007-06-21
1891999165 Vidvuds Bandrevics Radiology 102 Canyon Rd, Hailey, ID 83333-5067 2007-06-12
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City MCCALL
Zip Code 83638

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Dataset Information

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.

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