CORALYN ALEXANDER MD PA (NPI# 1861718561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861718561 |
| Entity Type | Organization |
| Organization Name | CORALYN ALEXANDER MD PA |
| Practice Address |
488 Blue Lakes Blvd N Ste 102 Twin Falls ID 83301-4800 |
| Mailing Address |
Po Box 2103 Twin Falls ID 83303-2103 |
| Practice Telephone | 2087343900 |
| Practice Fax Number | 2087349441 |
| Mailing Telephone | 2087343900 |
| Mailing Fax Number | 2087349441 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | CORALYN ALEXANDER (OWNER) |
| Authorized Official Telephone | 2087343900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
M6940 | ID | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962556787 | Coralyn Alexander Md Pa | Counselor | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-01-22 |
| Street Address |
488 BLUE LAKES BLVD N STE 102 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841354495 | Geoffroi Andre Golay | Chiropractor | 488 Blue Lakes Blvd N, Suite 107, Twin Falls, ID 83301-5236 | 2006-12-20 |
| 1811135635 | Geoffroi A. Golay, D.c., Pllc | Chiropractor | 488 Blue Lakes Blvd N, Suite 107, Twin Falls, ID 83301-4800 | 2009-02-02 |
| 1013191915 | Coralyn J Alexander Md Pa | Nurse Practitioner | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-12-27 |
| 1922282821 | Coralyn J Alexander Md Pa | Clinic/Center | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-12-27 |
| 1215147582 | Amy A Prestin | Social Worker | 488 Blue Lakes Blvd N, Suite 102, Twin Falls, ID 83301-4800 | 2007-05-23 |
| 1962556787 | Coralyn Alexander Md Pa | Counselor | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-01-22 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912300948 | New Leaf Behavioral Health | Clinic/Center | 144 Long Island Ave, Twin Falls, ID 83301-3018 | 2014-10-05 |
| 1730504309 | Turning Point, Center for Change | Clinic/Center | 483 Mahard Dr, Twin Falls, ID 83301-0275 | 2014-02-19 |
| 1013122563 | Lds Family Services | Clinic/Center | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2007-05-10 |
| 1689895625 | Vcc Inc | Clinic/Center | 1092 Eastland Dr N Ste C, Twin Falls, ID 83301-8442 | 2007-05-01 |
| 1093938599 | Community Support Center, Inc. | Clinic/Center | 336 Main Ave S, Twin Falls, ID 83301-6423 | 2007-04-11 |
| 1851514053 | Harmony Psr Services, Inc | Clinic/Center | 420 Main Ave S, Twin Falls, ID 83301-6424 | 2007-04-10 |
| 1316564891 | Zxm Psychiatry PC | Clinic/Center | 118 9th Ave N, Twin Falls, ID 83301-6352 | 2020-06-30 |
| 1053442590 | Idaho Dept of Health & Welfare R5 Tf Amh Psr | Clinic/Center | 823 Harrison St, Twin Falls, ID 83301-3925 | 2007-03-08 |
| 1306885744 | Jolliff Counseling & Behavioral Health, Inc | Clinic/Center | 834 Falls Ave, Ste 1050, Twin Falls, ID 83301-3365 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364978 | Brave Ahead Counseling | Clinic/Center | 991 Sunset Rd, Athol, ID 83801-9287 | 2020-10-18 |
| 1356959191 | Healing Minds LLC | Clinic/Center | 6586 W Flagstaff St, Rathdrum, ID 83858-8203 | 2020-07-17 |
| 1487273637 | Answers, LLC - Cbrs | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-08 |
| 1649808767 | Psychological Preventative Health Pllc | Clinic/Center | 4831 Greystone Ln, Idaho Falls, ID 83404-8338 | 2020-04-01 |
| 1073148623 | Begin Within Counseling, LLC | Clinic/Center | 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 | 2020-03-04 |
| 1871126797 | Avanzar Wellness LLC | Clinic/Center | 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 | 2020-02-19 |
| 1174155741 | Noble Intent | Clinic/Center | 1406 N Main St Ste 204, Meridian, ID 83642-1746 | 2020-02-11 |
| 1194362517 | Advanced Counseling LLC | Clinic/Center | 39 W Pine Ave, Meridian, ID 83642-2281 | 2019-12-04 |
| 1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
| 1750927281 | Weme Counseling and Clinical Consultation | Clinic/Center | 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.