MOUNTAIN WEST MEDICAL SERVICES PLLC


Address: 1067 S Wells St, Suite#110, Meridian, ID 83642-7997
Phone: 2082298739

MOUNTAIN WEST MEDICAL SERVICES PLLC (NPI# 1457894339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457894339
Entity Type Organization
Organization Name MOUNTAIN WEST MEDICAL SERVICES PLLC
Practice Address 1067 S Wells St
Suite#110
Meridian
ID 83642-7997
Practice Telephone 2082298739
Practice Fax Number 2088958540
Mailing Telephone 2082298739
Mailing Fax Number 2088958540
Enumeration Date 2016-11-28
Last Update Date 2017-07-14
Authorized Official Name DR. JOHN KENNETH MCRAE (DR. OF NURSE PRACTIONER)
Authorized Official Telephone 2082298739
Authorized Official Credential DNP, NPH, BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
54169 ID Ambulatory Health Care Facilities

Office Location

Street Address 1067 S WELLS ST
SUITE#110
City MERIDIAN
State ID
Zip Code 83642-7997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558438903 Lon Chad Mcrae Dentist 1067 S Wells St, Meridian, ID 83642-7997 2006-11-29
1518581370 Chelsea Ann Hansen Dental Hygienist 1067 S Wells St, Meridian, ID 83642-7997 2020-06-07
1033777891 Caroline Sewell Dentist 1067 S Wells St, Meridian, ID 83642-7997 2019-06-05
1720512478 Katy Pearce Dentist 1067 S Wells St, Meridian, ID 83642-7997 2017-04-19
1750838504 John Mcrae Nurse Practitioner 1067 S Wells St, Meridian, ID 83642-7997 2016-09-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
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1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1821032376 Saint Alphonsus Physician Services Inc Clinic/Center 3250 W Cherry Ln, Meridian, ID 83642-1120 2006-06-15
1891355392 Kaylor Family Medicine Pllc Clinic/Center 2536 N Stokesberry Pl, Meridian, ID 83646-1144 2019-06-17
1841603768 Treasure Valley Family Medicine, Pllc Clinic/Center 2428 N Stokesberry Pl, Meridian, ID 83646-5035 2014-06-09
1033424429 Borron Family Medicine Pllc Clinic/Center 790 W Ustick Rd, Ste 110, Meridian, ID 83646-5558 2010-08-10

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1902387285 Integrative Health Solutions Pllc Clinic/Center 1215 Michigan St Ste B, Sandpoint, ID 83864-5014 2018-08-24
1235618331 Healthworks Med Group of Colorado P C Clinic/Center 126 E 21st St, Burley, ID 83318-2551 2018-08-09
1427537927 Gem State Family Health Care Pllc Clinic/Center 496 Shoup Ave W Ste E, Twin Falls, ID 83301-5043 2018-08-07
1700379682 Vera Whole Health, Wa PC Clinic/Center 219 Phil Meador Ave, Pocatello, ID 83202 2018-06-14
1073031118 Clover Creek Medical Clinic/Center 175 North Main Street, Bloomington, ID 83223-8322 2017-09-08
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Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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