VALLEY MEDICAL CENTER, PLLC (NPI# 1942227699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942227699 |
| Entity Type | Organization |
| Organization Name | VALLEY MEDICAL CENTER, PLLC |
| Practice Address |
2315 8th St Lewiston ID 83501-7301 |
| Practice Telephone | 2087461383 |
| Practice Fax Number | 2087466348 |
| Mailing Telephone | 2087461383 |
| Mailing Fax Number | 2087466383 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | MR. DAVID L SCHLACTUS (CEO) |
| Authorized Official Telephone | 2082983100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
04-206454 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUESHIELD | 1942227699 | 01 |
| ID | 1942227699 | 05 | |
| WA | LABOR & INDUSTRIES | 31250 | 01 |
| WA | 7081938 | 05 | |
| ID | BLUE CROSS OF ID | 8A950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831482801 | Valley Medical Center, Pllc | Internal Medicine | 6716 Nolensville Pike, Suite 240, Brentwood, TN 37027-8864 | 2011-05-24 |
| Street Address |
2315 8TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415404 | Christine C Schaller | Family Medicine | 2315 8th St, Lewiston, ID 83501-7301 | 2005-05-31 |
| 1821614512 | Cory A Gall | Pathology | 2315 8th St, Lewiston, ID 83501-7301 | 2020-06-18 |
| 1255800462 | Rebecca Lyn Horne | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2018-11-16 |
| 1871033266 | Catalyst Medical Group, Pllc | Durable Medical Equipment & Medical Supplies | 2315 8th St, Lewiston, ID 83501 | 2017-03-03 |
| 1912458787 | Catalyst Medical Group, Pllc | Clinic/Center | 2315 8th St, Lewiston, ID 83501 | 2016-10-17 |
| 1376918383 | Eric Fast | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2015-12-02 |
| 1629450218 | Zachary S Ripley | Family Medicine | 2315 8th St, Lewiston, ID 83501-7301 | 2015-06-19 |
| 1023496908 | Anita Ringering | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2015-05-12 |
| 1356747042 | Danielle Barnes | Physician Assistant | 2315 8th St, Lewiston, ID 83501-7301 | 2014-11-07 |
| 1871900225 | Lynley R James | Nurse Practitioner | 2315 8th St, Lewiston, ID 83501-7301 | 2014-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1881200517 | Vannvei LLC | Clinic/Center | 1522 17th St, Lewiston, ID 83501-3652 | 2020-09-18 |
| 1912458787 | Catalyst Medical Group, Pllc | Clinic/Center | 2315 8th St, Lewiston, ID 83501 | 2016-10-17 |
| 1215095252 | Lewiston Orthopaedic Associates Pa | Clinic/Center | 320 Warner Dr, Lewiston, ID 83501-4441 | 2006-12-04 |
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| 1750681607 | Family Services, Pllc | Clinic/Center | 501 N 16th St Ste 108, Payette, ID 83661-2782 | 2010-10-26 |
| 1043545106 | Ashwood Recovery LLC. | Clinic/Center | 7941 W Rifleman St, Boise, ID 83704-9001 | 2009-10-07 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| 1659371870 | Saint Alphonsus Medical Center Nampa, Inc. | Clinic/Center | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2005-07-29 |
| 1831716182 | Regenesis Health Centre Inc. | Clinic/Center | 430 W Iowa Ave Ste A, Nampa, ID 83686-2826 | 2020-07-02 |
| 1568005809 | Pure Healthcare of Idaho LLC | Clinic/Center | 6560 W Emerald St Ste 122, Boise, ID 83704-8781 | 2019-10-18 |
| 1699316190 | Boise Plastic Surgery Boise Hand Center Pllc | Clinic/Center | 1070 N Curtis Rd Ste 135, Boise, ID 83706-1257 | 2019-10-05 |
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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.