Celina Ruddle (NPI# 1184050957, PAC ID# 1456657329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1184050957 |
| PAC ID by PECOS | 1456657329 |
| Professional Enrollment ID | I20160303000826 |
| Full Name | Celina Ruddle |
| Organization Legal Name | BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. |
| Address |
30410 Hwy 200 Ponderay ID 83852-9601 |
| Phone Number | 2082637101 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2264341221 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30410 Hwy 200, Ponderay, ID 83852-9601 | 2082637101 | BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mallorie Ely | Clinical Social Worker | Boundary Regional Community Health Center, Inc. | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1552 |
| Daniel C Barry | Physician Assistant | Boundary Regional Community Health Center, Inc. | 6615 Comanche St, Bonners Ferry, ID 83805-7523 |
| Albert K Jabbour | Physician Assistant | Boundary Regional Community Health Center, Inc. | 6509 Hwy 2, Suite 101, Priest River, ID 83856-6609 |
| George V Deland | Pediatric Medicine | Boundary Regional Community Health Center, Inc. | 6509 Hwy 2 101, Priest River, ID 83856-6609 |
| Ann Cox | Nurse Practitioner | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Erin Bass | Nurse Practitioner | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Gina M Beck | Clinical Social Worker | Boundary Regional Community Health Center, Inc. | 6615 Comanche St, Bonners Ferry, ID 83805-7523 |
| Stephen Christensen | Family Medicine | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Michael Mcisaac | Physician Assistant | Boundary Regional Community Health Center, Inc. | 6509 Hwy 2, Suite 101, Priest River, ID 83856-6609 |
| Adam Kusler | Clinical Social Worker | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Street Address |
30410 HWY 200 |
| City | PONDERAY |
| State | ID |
| Zip | 83852-9601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Cox | Nurse Practitioner | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Erin Bass | Nurse Practitioner | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Stephen Christensen | Family Medicine | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Adam Kusler | Clinical Social Worker | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Nelson Antoniuk | Family Medicine | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Laura J Lata | Nurse Practitioner | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Amber Moir-brow | Clinical Social Worker | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Ligeia A Reinhardt | Family Medicine | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Peter Kelterborn | Internal Medicine | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Jade Dardine | Family Practice | Boundary Regional Community Health Center, Inc. | 30410 Hwy 200, Ponderay, ID 83852-9601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce W Demko | Certified Registered Nurse Anesthetist (crna) | 30544 Hwy 200 201, Ponderay, ID 83852-5005 | |
| Joan M Bloom | Family Medicine | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| K Garrett Fischer | Physical Therapy | Kauai In-home Therapy LLC | 30544 Hwy 200, Ponderay, ID 83852-5005 |
| Travis L Taylor | Nurse Practitioner | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Lindsey M Ruppel | Family Medicine | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Michael R Di Benedetto | Orthopedic Surgery | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Michael D Schicker | Orthopedic Surgery | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Jonathan D Fisher | Podiatry | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Darwin L Hurst | Nurse Practitioner | Michael R Dibenedetto Md Pllc | 30544 Hwy 200, Suite 102, Ponderay, ID 83852-5005 |
| Jonathan Roy Gardunia | Physical Therapy | Kauai In-home Therapy LLC | 30544 Hwy 200, Ponderay, ID 83852-5005 |
| Find all physicians in zip 83852 | |||
| City | PONDERAY |
| Zip Code | 83852 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PONDERAY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Celina Ruddle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.