Guss R Grimmett (NPI# 1881620730, PAC ID# 7214906577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1881620730 |
| PAC ID by PECOS | 7214906577 |
| Professional Enrollment ID | I20041002000031 |
| Full Name | Guss R Grimmett |
| Organization Legal Name | MVH BMC LLC |
| Address |
210 S Emerson Ave Shelley ID 83274-1229 |
| Phone Number | 2083577404 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961791991 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 S Emerson Ave, Shelley, ID 83274-1229 | 2083577404 | MVH BMC LLC |
| Organization Legal Name | MVH BMC LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max Barney | Nurse Practitioner | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Heather F Grimmett | Physician Assistant | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Joy H Taylor | Nurse Practitioner | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Matthew J Fackrell | Family Medicine | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Gary Soucie | Family Medicine | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Hyrum Davenport | Nurse Practitioner | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Dellisa Dawn Eddington | Nurse Practitioner | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Francis T Johansen | General Surgery | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Charlynn S Perkes | Physician Assistant | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Gordon E Dixon Jr. | Family Medicine | Mvh Bmc LLC | 1441 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Street Address |
210 S EMERSON AVE |
| City | SHELLEY |
| State | ID |
| Zip | 83274-1229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max Barney | Nurse Practitioner | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Paul Beckett | Family Medicine | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Charles Searle | Chiropractic | 120 N Emerson Ave, Shelley, ID 83274-1105 | |
| Brennan T Williams | Chiropractic | Lifetime Wellness Chiropractic Pllc | 528 N State St, Shelley, ID 83274-1154 |
| Kristan C Sparks | Optometry | Parkway Eyecare PC | 524 N State St, Shelley, ID 83274-1154 |
| Nathan G Kohler | Optometry | Parkway Eyecare PC | 524 N State St, Shelley, ID 83274-1154 |
| Jordan D Keck | Chiropractic | Lifetime Wellness Chiropractic Pllc | 528 N State St, Shelley, ID 83274-1154 |
| Dennis S Radford | Optometry | 357 W Fir St, Shelley, ID 83274-1456 | |
| Renee Angela Weber | Physical Therapy | Wright Physical Therapy LLC | 650 N State St, Suite 1, Shelley, ID 83274-4900 |
| William Brett Arnell | Physical Therapy | Wright Physical Therapy LLC | 650 N State St, Suite 1, Shelley, ID 83274-4900 |
| City | SHELLEY |
| Zip Code | 83274 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHELLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Guss R Grimmett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.