PLACE OF FOOD


Address: 1131 Cole St, Kimberly, ID 83341-5138
Phone: 2084902778

PLACE OF FOOD (NPI# 1477044543) 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) 1477044543
Entity Type Organization
Organization Name PLACE OF FOOD
Practice Address 1131 Cole St
Kimberly
ID 83341-5138
Practice Telephone 2084902778
Mailing Telephone 2084902778
Enumeration Date 2018-05-24
Last Update Date 2018-05-24
Authorized Official Name KATIE WYATT (OWNER/CEO)
Authorized Official Telephone 2084902778
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 1131 COLE ST
City KIMBERLY
State ID
Zip Code 83341-5138

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NPI Name Taxonomy Address Enumeration
1063047470 Northstar In Home Support Services Social Worker 3323 East B 3600 North, Kimberly, ID 83341 2020-03-05
1851889182 Ammon Benjamin Birk Physical Therapist 940 Ballard Way, Kimberly, ID 83341 2018-04-23
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1770769325 Kent J Allen/ Shannon Widmier Dentist 702 Center St W, Kimberly, ID 83341 2008-01-14
1710072046 Helping Hands Sanctuary of Idaho Psychiatric Hospital 500 Polk St E, Kimberly, ID 83341 2006-10-03
1407954191 Kent J. Allen Dentist 702 Center Street West, Kimberly, ID 83341 2006-09-20
1841393212 Troy Alan Williams Dentist 1431 North Fillmore St, Twin Falls, ID 83341 2006-09-07
1386269983 Caroline M Riley Speech-Language Pathologist 113 Main Street, Kimberly, ID 83341 2020-06-10
1265512297 Northwest Bec Corp Assisted Living Facility 500 Polk St E, Kimberly, ID 83341 2006-10-16
1396842779 Shannon Widmier Dentist 702 Center Street West, Kimberly, ID 83341 2006-09-20
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1982026571 Treasure Valley Family Health Care, LLC Clinic/Center 1055 N Echohawk Way, Eagle, ID 83616-5456 2014-01-16
1124303094 N.e.x.t. Level Health Center, Inc. Clinic/Center 2105 Niagara, Idaho Falls, ID 83404 2011-10-11
1972821254 Sohm Chiropractic Pa Clinic/Center 8382 W Ustick Rd, Suite 200, Boise, ID 83704-5986 2010-05-11
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Competitor

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City KIMBERLY
Zip Code 83341

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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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