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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 405300000X | Prevention Professional | 32160 | ID | Other Service Providers |
Street Address |
3798 W 500 S |
City | MALAD CITY |
State | ID |
Zip Code | 83252-6105 |
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 Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
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] |
City | MALAD CITY |
Zip Code | 83252 |
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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.