VISTA HEALTH CENTER, LLC (NPI# 1740580026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740580026 |
Entity Type | Organization |
Organization Name | VISTA HEALTH CENTER, LLC |
Practice Address |
452 D St Idaho Falls ID 83402-3531 |
Practice Telephone | 2085211863 |
Practice Fax Number | 2085523201 |
Mailing Telephone | 2085211863 |
Mailing Fax Number | 2085523201 |
Enumeration Date | 2010-11-02 |
Last Update Date | 2010-11-02 |
Authorized Official Name | MRS. KATHLEEN ASBELL (OWNER) |
Authorized Official Telephone | 2085211863 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
Street Address |
452 D ST |
City | IDAHO FALLS |
State | ID |
Zip Code | 83402-3531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043873953 | Kimberli A Buer | Counselor | 452 D St, Idaho Falls, ID 83402-3531 | 2019-04-16 |
1346615465 | Marten Hatch | Social Worker | 452 D St, Idaho Falls, ID 83402-3531 | 2015-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
Find all providers in zip 83402 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245781574 | Fred Meyer Pharmacy | Clinic/Center | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2016-10-21 |
1063643690 | Bonner Partners In Care Clinic | Clinic/Center | 1020 Michigan St, Sandpoint, ID 83864-1788 | 2009-07-30 |
City | IDAHO FALLS |
Zip Code | 83402 |
Please comment or provide details below to improve the information on VISTA HEALTH CENTER, LLC.
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.