UPPER VALLEY FAMILY MEDICINE RHC


Address: 530 Rigby Lake Dr, Rigby, ID 83442-1271
Phone: 2087455021

UPPER VALLEY FAMILY MEDICINE RHC (NPI# 1023271731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023271731
Entity Type Organization
Organization Name UPPER VALLEY FAMILY MEDICINE RHC
Practice Address 530 Rigby Lake Dr
Rigby
ID 83442-1271
Practice Telephone 2087455021
Practice Fax Number 2087455026
Mailing Telephone 2087455021
Mailing Fax Number 2087455026
Enumeration Date 2008-07-03
Last Update Date 2008-07-03
Authorized Official Name MRS. CONNIE LYNN SAFARIK (OFFICE MANAGER)
Authorized Official Telephone 2087455021
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Office Location

Street Address 530 RIGBY LAKE DR
City RIGBY
State ID
Zip Code 83442-1271

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NPI Name Taxonomy Address Enumeration
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1821466376 Chad Judy Speech-Language Pathologist 152 E Main Street, Suite 110, Rigby, ID 83442 2015-09-14
1740588276 Jessica Brodie Speech-Language Pathologist 165 Front Street, Driggs, ID 83442 2011-03-08
1255636304 Kathy Lebaron Midwife 297n 3855 East, Rigby, ID 83442 2011-01-21
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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Competitor

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City RIGBY
Zip Code 83442

Improve Information

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Dataset Information

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.

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