SANDCREEK ECHO, INC. (NPI# 1366422248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366422248 |
| Entity Type | Organization |
| Organization Name | SANDCREEK ECHO, INC. |
| Practice Address |
2050 E 25th St Idaho Falls ID 83404-6490 |
| Practice Telephone | 2085292561 |
| Practice Fax Number | 2085292568 |
| Mailing Telephone | 2085292561 |
| Mailing Fax Number | 2085292568 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KIMBERLY CARPENTER (PRESIDENT) |
| Authorized Official Telephone | 2085292561 |
| Authorized Official Credential | RDCS,RVT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | 8D780 | 01 |
| ID | BLUE SHIELD | 000010029412 | 01 |
| Street Address |
2050 E 25TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205274677 | Leah Caroline Godsey | Spec/Tech, Cardiovascular | 2001 S Woodruff Ave Ste 12b, Idaho Falls, ID 83404-6372 | 2013-06-07 |
| 1609263482 | Chad Steven Dahle | Spec/Tech, Cardiovascular | 2001 S Woodruff Ave, Suite 12 B, Idaho Falls, ID 83404-6374 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154429058 | Intermountain Diagnostics, Inc. | Spec/Tech, Cardiovascular | 200 N 4th St, Suite 15, Boise, ID 83702-6001 | 2006-09-21 |
| 1558304923 | Intermountain Diagnostics Inc. | Spec/Tech, Cardiovascular | 200 N 4th St, Suite 15, Boise, ID 83702-6001 | 2006-06-14 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.