EAST IDAHO AUDIOLOGY LLC (NPI# 1447811740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447811740 |
| Entity Type | Organization |
| Organization Name | EAST IDAHO AUDIOLOGY LLC |
| Practice Address |
527 Rigby Lake Dr Ste C Rigby ID 83442-5117 |
| Practice Telephone | 2085226335 |
| Practice Fax Number | 2085220550 |
| Mailing Telephone | 2085226335 |
| Mailing Fax Number | 2085220550 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | RICHARD LEE (OWNER) |
| Authorized Official Telephone | 2085226335 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355A2700X |
Specialist/Technologist Specialization: Audiology Assistant |
Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | AUDIOLOGY | 1265969406 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 527 Rigby Lake Dr Ste C, Rigby, ID 834425117 | 2085226335 | 2085220550 |
| Street Address |
527 RIGBY LAKE DR STE C |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629272323 | Jason N Hurley O.d., PC | Optometrist | 527 Rigby Lake Dr Ste C, Rigby, ID 83442-1271 | 2007-06-14 |
| 1942747472 | Teton Pharmacy of Rigby LLC | Pharmacy | 527 Rigby Lake Dr Ste C, Rigby, ID 83442-5117 | 2017-01-23 |
| 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 | 2355A2700X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Audiology Assistant |
| Definition to come... |
Please comment or provide details below to improve the information on EAST IDAHO AUDIOLOGY LLC.
| 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.