EDNA MAE PALMER


Address: 3798 W 500 S, Malad City, ID 83252-6105
Phone: 2082519808

EDNA MAE PALMER (NPI# 1598302739) 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) 1598302739
Entity Type Individual
Full Name EDNA MAE PALMER
Practice Address 3798 W 500 S
Malad City
ID 83252-6105
Practice Telephone 2082519808
Mailing Telephone 2082519808
Enumeration Date 2019-12-06
Last Update Date 2019-12-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 405300000X Prevention Professional 32160 ID Other Service Providers

Office Location

Street Address 3798 W 500 S
City MALAD CITY
State ID
Zip Code 83252-6105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003179706 David Teeples Family Medicine 220 Bannock Street, Malad, ID 83252 2012-06-19
1396046835 A To Z Family Services, Inc. Social Worker 44 N Main, Malad, ID 83252 2010-11-16
1942855879 Tylee Skinner Behavior Technician 611 N 500 W, Malad City, ID 83252-1021 2019-08-07
1982738662 Southeastern Idaho Medical Clinics Family Medicine 230 W 200 N, Malad City, ID 83252-1109 2007-03-15
1861934473 Bcs Healthcare, LLC Nurse Practitioner 300 N 100 W, Malad City, ID 83252-1144 2016-11-14
1689005845 Rosemary Wells Counselor 444 N Main St, Malad City, ID 83252-1156 2013-12-12
1730459397 A To Z Family Services Clinic/Center 44 N Main St, Malad City, ID 83252-1200 2012-01-12
1083913164 Dallas R Spencer Social Worker 44 N Main St, Malad City, ID 83252-1200 2011-03-15
1003113390 Kelly Steven Piersanti Counselor 44 N Main St, Malad City, ID 83252-1200 2011-02-22
1346477668 Ronald Eugene Perry Chiropractor 60 N Main St, Malad City, ID 83252-1200 2009-06-12
Find all providers in zip 83252

Taxonomy Information

Taxonomy Code 405300000X
Grouping Other Service Providers
Classification Prevention Professional

Taxonomy Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new]

Competitor

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City MALAD CITY
Zip Code 83252

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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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