CLEARWATER VALLEY HOSPITAL AND CLINICS, INC (NPI# 1982073946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982073946 |
| Entity Type | Organization |
| Organization Name | CLEARWATER VALLEY HOSPITAL AND CLINICS, INC |
| Other Organization Name | CVHC DSME/T/S PROGRAM |
| Practice Address |
301 Cedar St Orofino ID 83544-9029 |
| Practice Telephone | 2084765777 |
| Practice Fax Number | 2084765385 |
| Mailing Telephone | 2084765777 |
| Mailing Fax Number | 2084765385 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Authorized Official Name | LENNE BONNER (ACTING PRESIDENT/CEO) |
| Authorized Official Telephone | 2084765777 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEARWATER VALLEY HOSPITAL AND CLINICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| CVHC DSME/T/S Program | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLEARWATER VALLEY HOSPITAL AND CLINICS, INC. | 301 Cedar St, Orofino, ID 83544-9029 |
| Street Address |
301 CEDAR ST |
| City | OROFINO |
| State | ID |
| Zip Code | 83544-9029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376010 | Peter W Crecelius | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2005-06-14 |
| 1891308201 | Daniel Burton | Occupational Therapist | 301 Cedar St, Orofino, ID 83544-9029 | 2020-08-25 |
| 1598391492 | Luke Matzen | Physical Therapist | 301 Cedar St, Orofino, ID 83544-9029 | 2020-03-23 |
| 1750804209 | Rana Janine Cleary | Technician | 301 Cedar St, Orofino, ID 83544-9029 | 2017-07-17 |
| 1467901330 | Taresa Lynn Michna | Nurse Practitioner | 301 Cedar St, Orofino, ID 83544-9029 | 2016-10-03 |
| 1285018754 | Orofino Health Center | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2015-07-15 |
| 1922414408 | Tammy Jo Miller | Nurse Practitioner | 301 Cedar St, Orofino, ID 83544 | 2014-07-07 |
| 1982028437 | Rachell Larsen | Dietitian, Registered | 301 Cedar St, Orofino, ID 83544-9029 | 2014-02-04 |
| 1386078418 | Shelly D Theobald | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2013-08-26 |
| 1679869325 | Rebecca Susan Katzman | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2011-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229809 | Clearwater Canyon Pharmacy, LLC | Pharmacy | 13020 Us-12, Orofino, ID 83544 | 2019-01-31 |
| 1295130698 | Brian Shapiro | Marriage & Family Therapist | 155 Main Street Stuite C, Orofino, ID 83544 | 2014-10-28 |
| 1942497052 | Jean M. Shropshire | Speech-Language Pathologist | 123 1st St., Orofino, ID 83544 | 2007-10-02 |
| 1417161969 | Jeffrey David Hartshorn | Chiropractor | 437 College Avenue, Orofino, ID 83544 | 2007-05-10 |
| 1598808099 | Orofino Physical Therapy and Wellness Inc | Physical Medicine & Rehabilitation | 1005 Michigan Ave, Orofino, ID 83544 | 2007-02-14 |
| 1083766356 | Adam C. Dayley, O.d., P.C. | Optometrist | 906 Michigan Ave., Orofino, ID 83544 | 2007-01-17 |
| 1710037882 | Douglas L Frank | Pharmacist | 1105 Michigan Avenue, Orofino, ID 83544 | 2007-01-11 |
| 1386718047 | Irene Lamberti | Chiropractor | 437 College Ave., Orofino, ID 83544 | 2006-11-17 |
| 1730281064 | Clearwater County | Ambulance | 1195 Riverside Avenue, Orofino, ID 83544 | 2006-09-05 |
| 1538101050 | Wendi Rene Richardson | Nurse Anesthetist, Certified Registered | 301 Cedar, Clearwater Valley Hospital, Orofino, ID 83544 | 2006-06-11 |
| Find all providers in zip 83544 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255449013 | Clearwater Valley Hospital & Clinics Inc | General Acute Care Hospital | 301 Cedar St, Orofino, ID 83544-9029 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
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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.