PRAIRIE ENTERPRISES LLC (NPI# 1215231311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215231311 |
| Entity Type | Organization |
| Organization Name | PRAIRIE ENTERPRISES LLC |
| Practice Address |
3332 N Boulder Creek Ave Meridian ID 83646-5553 |
| Practice Telephone | 8009986359 |
| Practice Fax Number | 8008863594 |
| Mailing Telephone | 8009986359 |
| Mailing Fax Number | 8008863594 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | VANESSA PRAIRIE (DIRECTOR) |
| Authorized Official Telephone | 8009986359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3332 N BOULDER CREEK AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387634 | Stallones Mobility LLC | Durable Medical Equipment & Medical Supplies | 943 W Overland Rd, Meridian, ID 83642-6541 | 2018-05-29 |
| 1265982920 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 3250 S Eagle Rd, Meridian, ID 83642-7018 | 2016-10-06 |
| 1538587290 | Health1logistics | Durable Medical Equipment & Medical Supplies | 2949 E Copper Point Dr, Suite 125, Meridian, ID 83642-5016 | 2014-03-31 |
| 1821339136 | Mommy's Own | Durable Medical Equipment & Medical Supplies | 1107 E Pisa St, Meridian, ID 83642-7888 | 2013-03-12 |
| 1316287998 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 715 Bonita Dr, Meridian, MS 39301-4603 | 2013-02-19 |
| 1720327265 | Redtail Supply Corporation Dba Amramp | Durable Medical Equipment & Medical Supplies | 2375 S Cobalt Point Way Ste 102, Meridian, ID 83642-8029 | 2013-02-04 |
| 1780958421 | Medselect LLC | Durable Medical Equipment & Medical Supplies | 721 Front Street Ext Ste 732, Meridian, MS 39301-4586 | 2012-02-27 |
| 1497022420 | Great Western Distribution of Idaho, LLC | Durable Medical Equipment & Medical Supplies | 480 E Franklin Rd, Suite 108, Meridian, ID 83642-2919 | 2011-11-18 |
| 1811205842 | Royal Innovations,llc | Durable Medical Equipment & Medical Supplies | 3796 E Presidential Dr, Meridian, ID 83642-6035 | 2010-09-24 |
| 1295049534 | Health Now Meridian, LLC | Durable Medical Equipment & Medical Supplies | 1218 23rd Ave, Meridian, MS 39301-4019 | 2010-07-28 |
| Find all providers in MERIDIAN | ||||
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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.