CASCADE MEDICAL CENTER HOSPITAL DISTRICT (NPI# 1689720435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689720435 |
| Entity Type | Organization |
| Organization Name | CASCADE MEDICAL CENTER HOSPITAL DISTRICT |
| Practice Address |
402 Lake Cascade Pkwy Cascade ID 83611-7702 |
| Mailing Address |
Po Box 1330 Cascade ID 83611-1330 |
| Practice Telephone | 2083824242 |
| Practice Fax Number | 2083823580 |
| Mailing Telephone | 2083824242 |
| Mailing Fax Number | 2083823580 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-01-03 |
| Authorized Official Name | CHARLES JONHSTON (CEO) |
| Authorized Official Telephone | 2083824242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
34 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002428400 | 05 | |
| ID | CIGNA PART B | 1251407 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003988825 | Cascade Medical Center Hospital District | Family Medicine | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2006-11-15 |
| Street Address |
402 LAKE CASCADE PKWY |
| City | CASCADE |
| State | ID |
| Zip Code | 83611-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003988825 | Cascade Medical Center Hospital District | Family Medicine | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2006-11-15 |
| 1720432230 | Chantell Williams | Nurse Practitioner | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2016-04-20 |
| 1245556141 | Ron K Ellsworth | Family Medicine | 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861917551 | Skyler Tidd | Physical Therapist | 402 Lake Cascade Parkway, Cascade, ID 83611 | 2017-08-03 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1952540650 | Cascade School District #422 | Local Education Agency (LEA) | 209 N School Street, Cascade, ID 83611 | 2009-02-19 |
| 1962629527 | Cornerstone Family & Cosmetic Dentistry | Dentist | 220 South Main Street, Cascade, ID 83611 | 2007-04-18 |
| 1437221231 | Katherine Farmer | Physical Therapist | 402 Old State Hwy, Cascade, ID 83611 | 2006-11-15 |
| 1760586994 | Cascade Rural Fire Protection District | Ambulance | 109 E Pine, Cascade, ID 83611 | 2006-09-08 |
| 1740270610 | Linda S Guest | Nurse Practitioner | 514 Skyline Drive, Cascade, ID 83611 | 2005-10-24 |
| 1184282170 | Cascade Family Dental | Dentist | 839 S Main St, Cascade, ID 83611 | 2019-06-04 |
| 1356581326 | Two Rivers Dental | Clinic/Center | 220 S Main St, Cascade, ID 83611 | 2009-03-03 |
| 1265685762 | Nicole Denise Rota | Physician Assistant | 402 Old State Hwy, Cascade, ID 83611 | 2008-10-28 |
| Find all providers in zip 83611 | ||||
| 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.