MERCY IN ACTION VINEYARD INC (NPI# 1861862534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861862534 |
| Entity Type | Organization |
| Organization Name | MERCY IN ACTION VINEYARD INC |
| Other Organization Name | MERCY BIRTH CENTER |
| Practice Address |
3018 W Overland Rd Boise ID 83705-3059 |
| Practice Telephone | 2086085954 |
| Practice Fax Number | 2085758737 |
| Mailing Telephone | 2086085954 |
| Mailing Fax Number | 2085758737 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | ROSE E PENWELL (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2085704578 |
| Authorized Official Credential | CPM, LM, BSM |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY IN ACTION VINEYARD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
MID-3 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO BOARD OF OCCUPATIONAL LICENSING | MID-3 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Birth Center | Doing Business As Name - Organization |
| Street Address |
3018 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83705-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659535334 | Rosemary E. Penwell | Midwife | 3018 W Overland Rd, Boise, ID 83705-3059 | 2008-07-11 |
| 1164983417 | Victoria Engelhard | Midwife | 3018 W Overland Rd, Boise, ID 83705-3059 | 2019-03-28 |
| 1386133825 | Kluane Tawn Tozier | Midwife | 3018 W Overland Rd, Boise, ID 83705-3059 | 2018-05-09 |
| 1710476254 | Hannah Michal Brown | Midwife | 3018 W Overland Rd, Boise, ID 83705-3059 | 2018-05-09 |
| 1730445974 | Rachel D Mast | Midwife | 3018 W Overland Rd, Boise, ID 83705-3059 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811407257 | National Birth Centers Inc | Clinic/Center | 2100 W Panama St, Boise, ID 83705-5120 | 2017-10-11 |
| 1780014753 | Boise Womens Health & Birth Center | Clinic/Center | 1502 W Franklin St, Boise, ID 83702-4028 | 2013-11-12 |
| 1003243890 | Boise Women's Health & Birth Center | Clinic/Center | 1502 W Franklin St, Boise, ID 83702-4028 | 2013-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972080810 | Boise River Birth Center and Womens Health | Clinic/Center | 182 W State St Ste B, Eagle, ID 83616-4959 | 2018-07-24 |
| 1386041028 | Motherwise Midwifery Service, LLC | Clinic/Center | 424 S Jefferson St, Moscow, ID 83843-2937 | 2014-11-24 |
| 1750514881 | Pend Oreille Midwifery Services | Clinic/Center | 723 Pine Street, Sandpoint, ID 83864 | 2009-08-24 |
| 1386297935 | Family Tree Midwifery, Inc. | Clinic/Center | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2019-07-23 |
| 1912429234 | Ancient Paths Birth @ Wellness, LLC | Clinic/Center | 2201 N Government Way Ste C, Coeur D Alene, ID 83814-3658 | 2017-07-07 |
| 1508105149 | The Uma Center, LLC | Clinic/Center | 414 S Jefferson St, Moscow, ID 83843-2937 | 2013-02-01 |
| 1780977678 | Shalom Prenatal & Birthing Services LLC | Clinic/Center | 5595 Sw Evanna Dr, Mountain Home, ID 83647-6401 | 2011-05-25 |
| 1689711897 | The Baby Place Inc | Clinic/Center | 270 N Linder Rd, Meridian, ID 83642-2437 | 2007-01-30 |
Please comment or provide details below to improve the information on MERCY IN ACTION VINEYARD INC.
| 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.