Valley Vista Care Corporation
Valley Vista Care Corporation provides Family Medicine Physician services in St Maries, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
820 Elm StSt Maries, ID 83861-2119
Phone: (208) 245-4576
Fax: (208) 245-2138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence O-130 (ID) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence M-5955 (ID) |
Record details
| NPI number | 1134296437 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gail Mills — Corporate Compliance Manager · (208) 245-4576 |
| Other names | Valley Vista Care Services - Family Practice |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 820 Elm St, St Maries, ID 83861-2119 |
Other providers in St Maries
-
Karen D Libsch, MD
229 S 8th St, St Maries, ID 83861-1813 · (208) 245-2591