MIDWAY YOUTH AND FAMILY DEVELOPMENT CENTER, INC (NPI# 1013293885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013293885 |
| Entity Type | Organization |
| Organization Name | MIDWAY YOUTH AND FAMILY DEVELOPMENT CENTER, INC |
| Practice Address |
75 Yakima Rd Dexter NM 88230-9757 |
| Practice Telephone | 5753475309 |
| Practice Fax Number | 5753475753 |
| Mailing Telephone | 5753475309 |
| Mailing Fax Number | 5753475753 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | DANNY SONS (PRESIDENT) |
| Authorized Official Telephone | 5753475309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 YAKIMA RD |
| City | DEXTER |
| State | NM |
| Zip Code | 88230-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700139169 | La Joya, LLC | Internal Medicine | 75 Yakima Rd, Dexter, NM 88230-9757 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962942854 | Sharon White | Registered Nurse | 100 N Lincoln, Dexter, NM 88230 | 2017-02-27 |
| 1245620400 | Teresa Gray | Social Worker | 100 North Lincoln, Dexter, NM 88230 | 2015-01-27 |
| 1225442122 | Samuel Chaves | Occupational Therapist | 404 S. Elford, Dexter, NM 88230 | 2014-06-18 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1114053469 | City of Dexter | Ambulance | 200 E. 2nd St, Dexter, NM 88230 | 2007-02-23 |
| 1275628117 | Clarissa Renee Otero | Social Worker | 100 E Monrill, Dexter, NM 88230 | 2006-10-04 |
| 1831186303 | Jonathan Wolkwitz | Family Medicine | 116 E. 2nd, Dexter, NM 88230 | 2005-09-30 |
| 1699804328 | Vivian S. Matlack | Speech-Language Pathologist | 100 N. Lincoln, Dexter, NM 88230 | 2007-03-06 |
| 1104086404 | Orlando Roberto Chavez | Occupational Therapy Assistant | 403 W 3rd Street, Dexter, NM 88230-0008 | 2008-06-11 |
| 1336278068 | Patricia Hagelstein | Speech-Language Pathologist | 100 N. Lincoln, Dexter, NM 88230-0159 | 2007-03-06 |
| Find all providers in zip 88230 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825862 | Christopher Graham | Nurse Practitioner | 2275 Bass Rd, Dexter, GA 31019-3625 | 2020-09-09 |
| 1811548530 | Taylor Rae Fuwell | Nurse Practitioner | 16973 County Road 624, Dexter, MO 63841-8980 | 2019-09-24 |
| 1790244093 | Caitlin Brooke Roe | Nurse Practitioner | 1007 W Bain St, Dexter, MO 63841-1974 | 2019-03-16 |
| 1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
| 1619274933 | Hollie A Conner | Nurse Practitioner | 911b W Business Hwy 60, Dexter, MO 63841-2741 | 2011-02-23 |
| 1508175472 | Jennifer L. Stephens | Nurse Practitioner | 38843 Dexter Road, Dexter, OR 97431 | 2010-09-27 |
| 1720396674 | Matthew S Moses | Nurse Practitioner | 1300 N One Mile Rd Ste 3, Dexter, MO 63841-1001 | 2010-09-14 |
| 1215082680 | Ellen Vaughan | Nurse Practitioner | 610 N. One Mile Road, Dexter, MO 63841 | 2007-01-24 |
| 1144853318 | Jennifer Lynn Michaud | Nurse Practitioner | 29 Church St, Dexter, ME 04930-1320 | 2020-02-17 |
| 1255801247 | Kristin Suzanne Wheeler Guethle | Nurse Practitioner | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2018-12-03 |
| Find all providers in DEXTER | ||||
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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.