Center Street Health Care Llc in Pocatello - Family
Center Street Health Care Llc - NPI 1417104530
Center Street Health Care Llc is a Family in Pocatello, Idaho. Center Street Health Care Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Center Street Health Care Llc is 1417104530. The last update date is 2008-09-30.
Center Street Health Care Llc's current location address is 1553 E Center St, Pocatello, Idaho. You can contact this provider via phone number 2082339355 and fax number 2082339300. The mailing address for Center Street Health Care Llc is 1553 E Center St, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center Street Health Care Llc |
|---|---|
| Address | 1553 E Center St, Pocatello, Idaho |
| Phone Number | 2082339355 |
| Fax Number | 2082339300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PROV |
|---|---|
| Authorized Official Name | Rice Marie Cynthia |
| Credentials | RNCNP |
| Telephone Number | 2082339355 |
NPI Number Detail
| NPI Number | 1417104530 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
| Address | 1553 E Center St |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014135 |
| Phone Number | 2082339355 |
| Fax Number | 2082339300 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | NP252A |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4383300 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Center Street Health Care Llc by the Centers for Medicare & Medicaid Services?
The Center Street Health Care Llc has been assigned the NPI (National Provider Identifier) 1417104530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Center Street Health Care Llc's physical address?
The Center Street Health Care Llc is physically located at 1553 E Center St, in the city of Pocatello, ID, with the postal code 832014135.
What is Center Street Health Care Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Center Street Health Care Llc is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1417104530 assigned to Center Street Health Care Llc?
The Center Street Health Care Llc was issued its 1417104530 on 2008-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Center Street Health Care Llc's details last updated?
The information pertaining to the Center Street Health Care Llc, including its address, specialty, and other details, was most recently updated on 2008-09-30.