WEST VALLEY LIFELINE SERVICES (NPI# 1992767800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992767800 |
| Entity Type | Organization |
| Organization Name | WEST VALLEY LIFELINE SERVICES |
| Practice Address |
1717 Arlington Ave Caldwell ID 83605-4802 |
| Practice Telephone | 2084553754 |
| Practice Fax Number | 2084553955 |
| Mailing Telephone | 2084553754 |
| Mailing Fax Number | 2084553955 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WAYNE MYRICK (PROGRAM MANAGER) |
| Authorized Official Telephone | 2084553754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
332B00000X | ID | Suppliers |
| Street Address |
1717 ARLINGTON AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204261 | Obhg Idaho PC | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-07-31 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1578103180 | David Michael Calley | Pharmacist | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-01-11 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1205489978 | Kimereng Kipchumba Kipsuge | Nurse Practitioner | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-07-22 |
| 1609357003 | Sarina L Folwell | Registered Nurse | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2018-08-23 |
| 1164936720 | West Valley Medical Associates Inc | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-11-18 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| 1629425707 | Hospital Medicine Associates of Idaho PC | Family Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-05-19 |
| 1528429172 | Brett Bemis | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659408 | Sawtooth Physical Therapy | Durable Medical Equipment & Medical Supplies | 16816 N Marketplace Blvd, Nampa, ID 83687-5140 | 2020-11-05 |
| 1285194134 | Brent Earl Parker Jr. | Durable Medical Equipment & Medical Supplies | 4715 E 200 N, Rigby, ID 83442-5954 | 2019-03-25 |
| 1356876726 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 204 W Ironwood Dr Ste 204, Coeur D Alene, ID 83814-1411 | 2017-04-24 |
| 1679938294 | Foot and Ankle Clinic of Spokane Inc | Durable Medical Equipment & Medical Supplies | 8944 N Hess St # A, Hayden, ID 83835-9183 | 2015-12-25 |
| 1821436718 | Kinghorn Medical LLC | Durable Medical Equipment & Medical Supplies | 248 S Cole Rd, Bldg #7, Boise, ID 83709-0934 | 2013-06-13 |
| 1174890628 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 1350 Parkway Dr Ste 26, Blackfoot, ID 83221-1657 | 2011-11-29 |
| 1033486865 | Wheelchair Access Vans | Durable Medical Equipment & Medical Supplies | 6893 Supply Way, Boise, ID 83716-5539 | 2011-11-22 |
| 1093091555 | Nationwidebath Com LLC | Durable Medical Equipment & Medical Supplies | 647 S Stibnite Ave, Kuna, ID 83634-1992 | 2011-10-28 |
| 1154618510 | Bellevue Healthcare II Inc | Durable Medical Equipment & Medical Supplies | 115 E Harrison Ave, Coeur D Alene, ID 83814-3238 | 2011-07-06 |
| 1477877934 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 1270 E Fairview Ave, Suite 150, Meridian, ID 83642-1844 | 2010-03-26 |
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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.