OASIS MEDICAL CENTER LLC (NPI# 1699942854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699942854 |
| Entity Type | Organization |
| Organization Name | OASIS MEDICAL CENTER LLC |
| Practice Address |
9000 W Duck Lake Dr Boise ID 83714-1834 |
| Mailing Address |
3217 W Bavaria St Eagle ID 83616 |
| Practice Telephone | 2082866676 |
| Practice Fax Number | 2086728385 |
| Mailing Telephone | 2082866676 |
| Mailing Fax Number | 2086728385 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | MR. JESSE MCMULLIN (ADMINISTRATOR) |
| Authorized Official Telephone | 2082866676 |
| Authorized Official Credential | RT, DS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376793216 | Oasis Medical Center LLC | Family Medicine | 4120 Bradford Hicks Dr, Livingston, TN 38570 | 2008-09-29 |
| Street Address |
9000 W DUCK LAKE DR |
| City | BOISE |
| State | ID |
| Zip Code | 83714-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134126 | Bloom Care LLC | Clinic/Center | 6965 N Glenwood St, Boise, ID 83714-1967 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291088 | Bloom Care LLC | Clinic/Center | 1610 Caldwell Blvd, Nampa, ID 83651-1728 | 2020-09-30 |
| 1770044703 | Two Rivers Medical Group | Clinic/Center | 151 W Galvani Dr Ste 151, Meridian, ID 83642-8008 | 2019-03-31 |
| 1912481292 | Falls Avenue Immediate Care Pa | Clinic/Center | 260 Falls Ave Ste D, Twin Falls, ID 83301-3370 | 2018-09-21 |
| 1396290953 | Gem Express Medical Group | Clinic/Center | 829b S Washington Ave, Emmett, ID 83617-3528 | 2016-08-23 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| 1750621744 | Lakeland Immediate Care LLC | Clinic/Center | 15636 N Highway 41 Ste 100, Rathdrum, ID 83858-8710 | 2013-02-27 |
| 1790043693 | River View Urgent Care & Medical Center Inc | Clinic/Center | 382 N Overland Ave, Burley, ID 83318-3433 | 2012-04-27 |
| 1841596186 | Magic Valley Urgent Care, Pllc | Clinic/Center | 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 | 2011-02-03 |
| 1437214475 | Tamarack Medical Clinic | Clinic/Center | 610 Village Dr, Donnelly, ID 83615 | 2006-12-27 |
| 1821603382 | Quicker Care Pllc | Clinic/Center | 844 Washington St N Ste 400, Twin Falls, ID 83301-3874 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OASIS MEDICAL CENTER LLC.
| 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.