VALLEY VISTA CARE CORPORATION (NPI# 1336216621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336216621 |
| Entity Type | Organization |
| Organization Name | VALLEY VISTA CARE CORPORATION |
| Other Organization Name | VISTA OUTREACH - MENTAL HEALTH CLINIC |
| Practice Address |
127 S 7th St St Maries ID 83861-1801 |
| Mailing Address |
820 Elm St St Maries ID 83861-2119 |
| Practice Telephone | 2082451920 |
| Practice Fax Number | 2082459206 |
| Mailing Telephone | 2082454576 |
| Mailing Fax Number | 2082452138 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GAIL MILLS (CORPORATE COMPLIANCE MANAGER) |
| Authorized Official Telephone | 2082454576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vista Outreach - Mental Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780751966 | Valley Vista Care Corporation | Assisted Living Facility | 4433 Beverland Road, Mackay, ID 83251-0239 | 2006-11-30 |
| 1194892489 | Valley Vista Care Corporation | Community/Behavioral Health | 127 S 7th St, St Maries, ID 83861-1801 | 2006-11-29 |
| 1881761476 | Valley Vista Care Corporation | Assisted Living Facility | 3668 W. 3700 N., Darlington, ID 83255-0909 | 2006-11-29 |
| 1770599409 | Valley Vista Care Corporation | Skilled Nursing Facility | 820 Elm St, St Maries, ID 83861-2119 | 2006-08-01 |
| 1497761050 | Valley Vista Care Corporation | Skilled Nursing Facility | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2006-08-01 |
| 1194056598 | Valley Vista Care Corporation | Skilled Nursing Facility | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2010-01-25 |
| 1134296437 | Valley Vista Care Corporation | Family Medicine | 820 Elm St, St Maries, ID 83861-2119 | 2006-11-29 |
| Street Address |
127 S 7TH ST |
| City | ST MARIES |
| State | ID |
| Zip Code | 83861-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194892489 | Valley Vista Care Corporation | Community/Behavioral Health | 127 S 7th St, St Maries, ID 83861-1801 | 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144357369 | Idaho Dept of Health & Welfare Reg 1 Amh Psr St Maries | Clinic/Center | 222 S 7th St, St Maries, ID 83861-1847 | 2007-02-27 |
| 1477812626 | Alliance Family Services | Clinic/Center | 89 Homer Dr, St Maries, ID 83861-5078 | 2012-05-09 |
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| 1194362517 | Advanced Counseling LLC | Clinic/Center | 39 W Pine Ave, Meridian, ID 83642-2281 | 2019-12-04 |
| 1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
| 1750927281 | Weme Counseling and Clinical Consultation | Clinic/Center | 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
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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.