CHALLIS AREA HEALTH CENTER (NPI# 1538251996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538251996 |
Entity Type | Organization |
Organization Name | CHALLIS AREA HEALTH CENTER |
Practice Address |
1 Clinic Road Challis ID 83226-0980 |
Mailing Address |
Po Box 980 Challis ID 83226-0980 |
Practice Telephone | 2088794351 |
Practice Fax Number | 2088795216 |
Mailing Telephone | 2088794351 |
Mailing Fax Number | 2088795216 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2010-03-25 |
Authorized Official Name | KATE TAYLOR (ADMINISTRATOR) |
Authorized Official Telephone | 2088794351 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 805056300 | 05 |
Street Address |
1 CLINIC ROAD |
City | CHALLIS |
State | ID |
Zip Code | 83226-0980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144312513 | Kenneth Henry Hyatt | Physician Assistant | 1 Clinic Road, Challis, ID 83226 | 2006-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295276590 | Eagles Wings Transportation | Private Vehicle | 199 Valley Ct, Challis, ID 83226 | 2017-03-20 |
1306299151 | Eagles Wings Transportation | Non-emergency Medical Transport (VAN) | 199 Valley Court, Challis, ID 83226 | 2016-07-18 |
1013353721 | Molly Lee Hill | Speech-Language Pathologist | 510 North High 93, Challis, ID 83226 | 2013-05-21 |
1053668970 | Thayn Physical Therapy, Pllc | Clinic/Center | 510 North Highway 93, Challis, ID 83226 | 2012-08-09 |
1902175979 | Rainbow's End Recovery Center LLC | Substance Abuse Rehabilitation Facility | 25341 N. Highway 93, Challis, ID 83226 | 2011-12-21 |
1639448798 | Stephen Max Smith | Physician Assistant | 611 Clinic Road, Challis, ID 83226 | 2011-12-19 |
1962644260 | Two Rivers Dental, Pllc | Dentist | 810 Hwy 93 S, Challis, ID 83226 | 2009-04-01 |
1962666164 | Zhohnann Kathleen Piva Thayn | Physical Therapist | 510 N Highway 93, Challis, ID 83226 | 2008-07-16 |
1639340789 | Challis Joint School District #181 | Local Education Agency (LEA) | 950 Bluff Street, Challis, ID 83226 | 2008-03-17 |
1871717272 | North Custer Hospital District | Ambulance | 611 Clinic Rd, Challis, ID 83226 | 2007-04-13 |
Find all providers in zip 83226 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689022519 | Thomas Daniel Fife | Physician Assistant | 611 Clinic Rd, Challis, ID 83226 | 2016-06-01 |
1144312513 | Kenneth Henry Hyatt | Physician Assistant | 1 Clinic Road, Challis, ID 83226 | 2006-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689217911 | David Jeffrey Hanson | Physician Assistant | 740 Mckinley Ave Ste 100, Kellogg, ID 83837-2693 | 2019-10-18 |
1871060681 | Travis Henman | Physician Assistant | 1404 Pomerelle Ave Ste 150, Burley, ID 83318-2012 | 2018-10-30 |
1952889685 | Cody Mattingly | Physician Assistant | 14601 S Pleasant Valley Rd, Kuna, ID 83634-2728 | 2018-08-03 |
1992174072 | Alexa Rhea | Physician Assistant | 2841 Juniper Dr Ste 2, Lewiston, ID 83501-4719 | 2015-09-18 |
1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
1407223274 | Michael Kenneth Wucinich | Physician Assistant | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2015-08-28 |
1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
1447652813 | Jessea Camille Whitlow | Physician Assistant | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2014-09-17 |
1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
Find all providers with the same taxonomy |
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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.