MAGIC VALLEY MEDICINE PLLC (NPI# 1831644608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831644608 |
| Entity Type | Organization |
| Organization Name | MAGIC VALLEY MEDICINE PLLC |
| Practice Address |
844 Washington St N Ste 400 Twin Falls ID 83301-3874 |
| Practice Telephone | 2087340000 |
| Practice Fax Number | 2087355053 |
| Mailing Telephone | 2087340000 |
| Mailing Fax Number | 2087355053 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | SAMUEL BARKER (PRESIDENT) |
| Authorized Official Telephone | 2087340000 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NP1452A | ID | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939383 | Magic Valley Medicine Pllc | Durable Medical Equipment & Medical Supplies | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2014-07-08 |
| Street Address |
844 WASHINGTON ST N STE 400 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043301682 | Samuel Harrison Barker | Chiropractor | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2006-09-27 |
| 1821603382 | Quicker Care Pllc | Clinic/Center | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2020-09-11 |
| 1174939383 | Magic Valley Medicine Pllc | Durable Medical Equipment & Medical Supplies | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2014-07-08 |
| 1669787636 | Jillian Marjorie Sirucek Adepoju | Chiropractor | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2010-08-13 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578822011 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1247 Filer Ave E, Twin Falls, ID 83301-4118 | 2012-05-03 |
| 1235407420 | Homestyle Direct LLC. | Durable Medical Equipment & Medical Supplies | 2032 Highland Ave E, Twin Falls, ID 83301-7926 | 2011-12-02 |
| 1528290640 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1732 Washington St N, Twin Falls, ID 83301-5564 | 2009-08-24 |
| 1417190315 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 252 Cheney Dr W, Twin Falls, ID 83301-3721 | 2009-04-08 |
| 1528133923 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 250 2nd Ave S, Ste C, Twin Falls, ID 83301-6211 | 2006-11-21 |
| 1295832574 | K2red L.L.C. | Durable Medical Equipment & Medical Supplies | 526 Shoup Ave W Ste K, Twin Falls, ID 83301-5050 | 2006-09-20 |
| 1609985142 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1139 Addison Avenue East, Twin Falls, ID 83301-5224 | 2006-08-29 |
| 1841212636 | Idaho Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1611 Blue Lakes Blvd N, Twin Falls, ID 83301-3374 | 2006-07-24 |
| 1063437689 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1913 Addison Ave E, Twin Falls, ID 83301-5305 | 2006-07-13 |
| 1043241193 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 2258 Addison Ave E, Twin Falls, ID 83301-6753 | 2006-07-06 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MAGIC VALLEY MEDICINE PLLC.
| 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.