DORIS THORNOCK (NPI# 1912264474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912264474 |
| Entity Type | Organization |
| Organization Name | DORIS THORNOCK |
| Practice Address |
444 N 10th St Montpelier ID 83254-1115 |
| Practice Telephone | 2088472623 |
| Mailing Telephone | 2088472623 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | DORIS F THORNOCK (SOLE PROPRIETOR) |
| Authorized Official Telephone | 2088472623 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
444 N 10TH ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346515889 | Doris Faye Thornock | Contractor | 444 N 10th St, Montpelier, ID 83254-1115 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| Find all providers in zip 83254 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976045 | Tyson Hanson | Respite Care | 1496 N 1070 E, Sheley, ID 83274 | 2020-06-10 |
| 1770017303 | Debbie Kay Catanese | Respite Care | 1403 Paul St, Idaho Falls, ID 83401-4229 | 2017-04-20 |
| 1194033746 | Mike Anderson | Respite Care | 618 Nw 1st St, Meridian, ID 83642-2505 | 2010-09-16 |
| City | MONTPELIER |
| Zip Code | 83254 |
Please comment or provide details below to improve the information on DORIS THORNOCK.
| 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.