VALLEY VISTA THERAPY SERVICES (NPI# 1073718391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073718391 |
| Entity Type | Organization |
| Organization Name | VALLEY VISTA THERAPY SERVICES |
| Practice Address |
820 Elm St St Maries ID 83861-2119 |
| Practice Telephone | 2082454576 |
| Practice Fax Number | 2082455909 |
| Mailing Telephone | 2082454576 |
| Mailing Fax Number | 2082455909 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDY KENNELLY (CORPORATE COMPLIANCE MANAGER) |
| Authorized Official Telephone | 2082454576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
OT-510 | ID | Allopathic & Osteopathic Physicians |
| X | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
OT-061 | ID | Allopathic & Osteopathic Physicians |
| X | 235Z00000X | Speech-Language Pathologist | SLP-1123 | ID | Speech, Language and Hearing Service Providers |
| X | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT-160 | ID | Ambulatory Health Care Facilities |
| Street Address |
820 ELM ST |
| City | ST MARIES |
| State | ID |
| Zip Code | 83861-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770599409 | Valley Vista Care Corporation | Skilled Nursing Facility | 820 Elm St, St Maries, ID 83861-2119 | 2006-08-01 |
| 1790852481 | David H. Wetterlin | Physical Therapist | 820 Elm St, St Maries, ID 83861-2119 | 2006-11-29 |
| 1134296437 | Valley Vista Care Corporation | Family Medicine | 820 Elm St, St Maries, ID 83861-2119 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880789 | Catherine Frances Bean | Private Vehicle | 5753 Alder Creek Rd, St. Maries, ID 83861 | 2017-09-20 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1881752913 | Richard K Thurston | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1851337208 | Robert D Magwire | Optometrist | 704 College, St Maries, ID 83861 | 2006-06-22 |
| 1205810025 | William Walter Wheeler | Surgery | 229 S. 7th Street, St. Maries, ID 83861 | 2005-12-05 |
| 1952469082 | John Richard Katovich Jr. | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1255351458 | William Scott Spence | Family Medicine | 229 S. 7th Street, St. Maries, ID 83861 | 2006-07-20 |
| 1992756233 | Terry L Spohr | Physician Assistant | 229 S. 7th Street, St. Maries, ID 83861 | 2006-05-12 |
| 1699723411 | David James Luther | Family Medicine | 229 S. 7th Street, Saint Maries, ID 83861 | 2006-05-04 |
| 1629627666 | Valerie Kay Sanchez | Technician/Technologist | 305 N 19th St, St Maries, ID 83861-1156 | 2019-09-11 |
| Find all providers in zip 83861 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740679711 | Paul Creighton | Preventive Medicine | 5038 E River Pl, Post Falls, ID 83854-6891 | 2015-01-14 |
| 1609014117 | John W. Jones | Preventive Medicine | 1017 E Young, Hope Wellness Center, Pocatello, ID 83201-4406 | 2009-01-22 |
| 1538339833 | Lowell A Schuknecht Jr. | Preventive Medicine | 5352 Hill Rd, Boise, ID 83703-2944 | 2008-03-03 |
| 1619173754 | William Francis Belk | Preventive Medicine | 1955 Fremont St, Inl Omp, Idaho Falls, ID 83415-0001 | 2007-06-25 |
| 1497211148 | Treasure Valley Occupational Medicine | Preventive Medicine | 8800 W Emerald St Ste 196, Boise, ID 83704-8205 | 2019-02-19 |
| 1144673021 | Saint Alphonsus Regional Medical Center | Preventive Medicine | 6533 W Emerald St, Boise, ID 83704-8737 | 2016-07-15 |
| 1295907210 | Margaret Kay Cook-shimanek | Preventive Medicine | 6533 Emerald Street, Boise, ID 83704-8737 | 2008-03-31 |
| 1770790313 | Cody D Heiner | Preventive Medicine | 703 S Americana Blvd, Boise, ID 83702-5099 | 2007-05-16 |
| 1629107131 | Howard W Shoemaker | Preventive Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2007-03-02 |
| 1497825285 | Stewart Ryan Curtis | Preventive Medicine | 2920 Cortez Ave, Idaho Falls, ID 83404-7554 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALLEY VISTA THERAPY SERVICES.
| 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.