ALICE D. BOLLINGER (NPI# 1275894065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275894065 |
| Entity Type | Individual |
| Full Name | ALICE D. BOLLINGER |
| Credential | RN |
| Practice Address |
444 Hospital Way Pocatello ID 83201-2745 |
| Mailing Address |
4939 Joy St Chubbuck ID 83202-2505 |
| Practice Telephone | 2082326214 |
| Practice Fax Number | 2082333416 |
| Mailing Telephone | 2082326214 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
N17580 | ID | Ambulatory Health Care Facilities |
| Street Address |
444 HOSPITAL WAY |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850399 | Paul W. Otto | Pharmacist | 444 Hospital Way, Ste 801, Pocatello, ID 83201-2792 | 2005-06-08 |
| 1396202388 | Matthew Coleman | Registered Nurse | 444 Hospital Way, Pocatello, ID 83201-2745 | 2019-02-26 |
| 1386091387 | Sabrina Tallon | Hearing Instrument Specialist | 444 Hospital Way, Pocatello, ID 83201-2745 | 2016-05-19 |
| 1639526932 | Cindy Wade | Counselor | 444 Hospital Way, Ste 477, Pocatello, ID 83201-2745 | 2016-05-17 |
| 1467826115 | Shannon O'donnell | Counselor | 444 Hospital Way, Ste 477, Pocatello, ID 83201-2745 | 2015-11-18 |
| 1730564576 | Devin Livesay | Pharmacist | 444 Hospital Way, Ste 801, Pocatello, ID 83201-2745 | 2015-07-22 |
| 1093101438 | Meridian Family Medicine | Nurse Practitioner | 444 Hospital Way, Room 219, Pocatello, ID 83209-2745 | 2015-04-13 |
| 1275952418 | Sterling White | Pharmacist | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2014-04-15 |
| 1740609346 | Jason Morris | Pharmacist | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2014-04-10 |
| 1447674213 | Sy Williams | Social Worker | 444 Hospital Way, Pocatello, ID 83201-2745 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1760739973 | Pocatello Family Medicine | Clinic/Center | 465 Memorial Drive, Pocatello, ID 83201-4008 | 2012-08-07 |
| 1508875881 | Primary Care Specialists, Pa | Clinic/Center | 110 Vista Drive, Pocatello, ID 83201 | 2006-08-05 |
| 1003231911 | Need-a-nurse Medical Staffing, LLC | Clinic/Center | 476 E Chubbuck Rd, Pocatello, ID 83202-1816 | 2014-02-28 |
| 1700147543 | Becky Lee Morrison | Clinic/Center | 444 Hospital Way, Pocatello, ID 83201-2745 | 2012-06-07 |
| 1245591080 | Colleen E. Hallinan | Clinic/Center | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2012-06-07 |
| 1548521396 | Nanette Marie Phinney | Clinic/Center | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2012-06-07 |
| 1285936781 | Bmh Inc. | Clinic/Center | 2302 E Terry St, Pocatello, ID 83201-2733 | 2010-12-03 |
| 1124355813 | Phs Md #1, LLC | Clinic/Center | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-11-17 |
| 1992032098 | Phs Md #1, LLC | Clinic/Center | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2009-11-10 |
| Find all providers in POCATELLO | ||||
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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.