CLEARWATER VALLEY HOSPITAL AND CLINICS PHARMACY (NPI# 1447439666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447439666 |
| Entity Type | Organization |
| Organization Name | CLEARWATER VALLEY HOSPITAL AND CLINICS PHARMACY |
| Practice Address |
301 Cedar St Orofino ID 83544-9029 |
| Practice Telephone | 2084764555 |
| Practice Fax Number | 2084765385 |
| Mailing Telephone | 2084764555 |
| Mailing Fax Number | 2084765385 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | MS. LINDA MEACHAM (OFFICE MANAGER) |
| Authorized Official Telephone | 2084768003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
1321HP | ID | Suppliers |
| Street Address |
301 CEDAR ST |
| City | OROFINO |
| State | ID |
| Zip Code | 83544-9029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376010 | Peter W Crecelius | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2005-06-14 |
| 1891308201 | Daniel Burton | Occupational Therapist | 301 Cedar St, Orofino, ID 83544-9029 | 2020-08-25 |
| 1598391492 | Luke Matzen | Physical Therapist | 301 Cedar St, Orofino, ID 83544-9029 | 2020-03-23 |
| 1750804209 | Rana Janine Cleary | Technician | 301 Cedar St, Orofino, ID 83544-9029 | 2017-07-17 |
| 1467901330 | Taresa Lynn Michna | Nurse Practitioner | 301 Cedar St, Orofino, ID 83544-9029 | 2016-10-03 |
| 1982073946 | Clearwater Valley Hospital and Clinics, Inc | General Acute Care Hospital | 301 Cedar St, Orofino, ID 83544-9029 | 2015-09-21 |
| 1285018754 | Orofino Health Center | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2015-07-15 |
| 1922414408 | Tammy Jo Miller | Nurse Practitioner | 301 Cedar St, Orofino, ID 83544 | 2014-07-07 |
| 1982028437 | Rachell Larsen | Dietitian, Registered | 301 Cedar St, Orofino, ID 83544-9029 | 2014-02-04 |
| 1386078418 | Shelly D Theobald | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2013-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1295130698 | Brian Shapiro | Marriage & Family Therapist | 155 Main Street Stuite C, Orofino, ID 83544 | 2014-10-28 |
| 1942497052 | Jean M. Shropshire | Speech-Language Pathologist | 123 1st St., Orofino, ID 83544 | 2007-10-02 |
| 1417161969 | Jeffrey David Hartshorn | Chiropractor | 437 College Avenue, Orofino, ID 83544 | 2007-05-10 |
| 1598808099 | Orofino Physical Therapy and Wellness Inc | Physical Medicine & Rehabilitation | 1005 Michigan Ave, Orofino, ID 83544 | 2007-02-14 |
| 1083766356 | Adam C. Dayley, O.d., P.C. | Optometrist | 906 Michigan Ave., Orofino, ID 83544 | 2007-01-17 |
| 1710037882 | Douglas L Frank | Pharmacist | 1105 Michigan Avenue, Orofino, ID 83544 | 2007-01-11 |
| 1386718047 | Irene Lamberti | Chiropractor | 437 College Ave., Orofino, ID 83544 | 2006-11-17 |
| 1730281064 | Clearwater County | Ambulance | 1195 Riverside Avenue, Orofino, ID 83544 | 2006-09-05 |
| 1538101050 | Wendi Rene Richardson | Nurse Anesthetist, Certified Registered | 301 Cedar, Clearwater Valley Hospital, Orofino, ID 83544 | 2006-06-11 |
| Find all providers in zip 83544 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
| 1255622825 | St. Luke's Boise Medical Center | Pharmacy | 190 E Bannock St, Inpatient Pharmacy, Boise, ID 83712-6241 | 2011-04-29 |
| 1215228911 | St Luke's Meridian Inpt Pharmacy | Pharmacy | 520 S Eagle Rd, Attn: Basement, Meridian, ID 83642-6351 | 2011-04-28 |
| 1992994024 | St. Mary's Hospital Pharmacy | Pharmacy | 701 Lewiston St, Cottonwood, ID 83522 | 2007-10-15 |
| 1265559314 | State of Idaho-dba Idaho State School & Hospital Pharmacy | Pharmacy | 1660 11th Ave N, Nampa, ID 83687-5000 | 2007-03-23 |
| 1699814574 | Bear Lake County Memorial Hospital | Pharmacy | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-02-06 |
| 1932154705 | St. Luke's Magic Valley Regional Medical Center, Ltd. | Pharmacy | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 | 2006-05-23 |
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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.