SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C. (NPI# 1669410361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669410361 |
Entity Type | Organization |
Organization Name | SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C. |
Other Organization Name | SNAKE RIVER ENDOSCOPY CENTER |
Practice Address |
141 Morrison St Twin Falls ID 83301-5451 |
Practice Telephone | 2087323030 |
Practice Fax Number | 2087338970 |
Mailing Telephone | 2087323030 |
Mailing Fax Number | 2087338970 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2008-06-17 |
Authorized Official Name | ROBERT WARD (PHYSICIAN) |
Authorized Official Telephone | 2087323030 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | RR MEDICARE | P00056475 | 01 |
ID | 806686500 | 05 |
Other Name | Type Code |
---|---|
SNAKE RIVER ENDOSCOPY CENTER | Doing Business As Name - Organization |
Street Address |
141 MORRISON ST |
City | TWIN FALLS |
State | ID |
Zip Code | 83301-5451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053702837 | Heather Mcdonald Nope | Physician Assistant | 141 Morrison St, Twin Falls, ID 83301-5451 | 2015-02-14 |
1114032984 | Trinity Ear Nose & Throat PC | Specialist | 141 Morrison St, Twin Falls, ID 83301-5451 | 2006-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
Find all providers in zip 83301 |
Taxonomy Code | 261QE0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Endoscopy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770502767 | Endoscopy Center, LLC | Clinic/Center | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
1437148004 | Lewis Clark Endoscopy, Pllc | Clinic/Center | 1630 23rd Ave, Suite 801, Lewiston, ID 83501-6345 | 2005-10-17 |
City | TWIN FALLS |
Zip Code | 83301 |
Please comment or provide details below to improve the information on SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C..
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.