UPPER VALLEY FAMILY MEDICINE PLLC (NPI# 1326322843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326322843 |
Entity Type | Organization |
Organization Name | UPPER VALLEY FAMILY MEDICINE PLLC |
Practice Address |
711 Rigby Lake Dr Suite 115 Rigby ID 83442-5192 |
Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
Practice Telephone | 2087455021 |
Mailing Telephone | 3104749809 |
Enumeration Date | 2011-10-03 |
Last Update Date | 2011-10-03 |
Authorized Official Name | RICHARD HARPER (OWNER) |
Authorized Official Telephone | 2087455021 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | UPPER VALLEY FAMILY MEDICINE PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073697884 | Upper Valley Family Medicine Pllc | Family Medicine | 711 Rigby Lake Dr Ste 115, Rigby, ID 83442-5230 | 2006-10-25 |
Street Address |
711 RIGBY LAKE DR SUITE 115 |
City | RIGBY |
State | ID |
Zip Code | 83442-5192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467403733 | William D Adams | Family Medicine | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5192 | 2006-05-12 |
1477599538 | Richard T Harper | Family Medicine | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5192 | 2006-06-20 |
1104861368 | Stephen L. Richins | Physician Assistant | 711 Rigby Lake Dr, Ste. 114, Rigby, ID 83442-5229 | 2006-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
1508400912 | Ranbow LLC | Assisted Living Facility | 130 Stockham Blvd., Rigby, ID 83442 | 2019-10-30 |
1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
1457856429 | Kayla Childers | Speech-Language Pathologist | 152 E. Main Street, Rigby, ID 83442 | 2018-03-29 |
1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
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 |
1780834077 | Agape Birth Service and Birth Center | Midwife | 297 N 3855 East, Rigby, ID 83442 | 2008-09-24 |
1548431588 | Valley Orthodontics | Dentist | 197 Stockham Blvd, Suite A, Rigby, ID 83442 | 2008-03-18 |
Find all providers in zip 83442 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1912307885 | Mederx, LLC | Non-Pharmacy Dispensing Site | 922 W Colchester Dr, Eagle, ID 83616-5892 | 2014-08-28 |
1114299666 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 14 S Baltic Pl, Meridian, ID 83642-5935 | 2012-01-30 |
1821342247 | Madison Memorial Hospital | Non-Pharmacy Dispensing Site | 450 E Main St, Rexburg, ID 83440-2048 | 2012-11-07 |
1114290566 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 5216 Cleveland Blvd, Caldwell, ID 83607-8123 | 2012-02-15 |
1598035917 | P. Roman Burk Dpm, PC | Non-Pharmacy Dispensing Site | 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 | 2012-01-02 |
1649556325 | Pain Center, Inc. | Non-Pharmacy Dispensing Site | 1673 W Shoreline Dr, Ste 140, Boise, ID 83702-6750 | 2011-10-26 |
1851676258 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2011-10-17 |
1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
1144504663 | Advanced Healthcare Solutions LLC | Non-Pharmacy Dispensing Site | 950 Hospital Way, Pocatello, ID 83201-2789 | 2011-10-03 |
1437432267 | Advanced Healthcare Solutions, LLC | Non-Pharmacy Dispensing Site | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2011-09-28 |
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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.