NPIMap

Organization Active NPI

Mountain View Hospital Physician Organization

  • General Acute Care Hospital
  • Idaho Falls, ID
National Provider Identifier
1073834529
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
64 Issued in ID
Legal business name
MOUNTAIN VIEW HOSPITAL PHYSICIAN ORGANIZATION
Practice address
2325 Coronado St
Idaho Falls, ID 83404
Phone
(208) 557-2700
Fax
(208) 557-2701
NPI assigned
Jun 18, 2010
Last updated
Jun 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Evelyn Rossi
Title
Vice President of Patient Finanacia
Phone
(208) 557-2716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 64 ID Primary

Addresses

Primary practice location

2325 Coronado St
Idaho Falls, ID 83404

Mailing address

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 557-2700

Other identifiers 1

IdentifierTypeStateIssuer
806528800MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Idaho Falls Pulmonary10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2377 Coronado St
Idaho Falls, ID 83404
Phone (208) 420-0150

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1073834529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-557-2700",
            "fax_number": "208-557-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-557-2700",
            "fax_number": "208-557-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW HOSPITAL PHYSICIAN ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PATIENT FINANACIA",
        "authorized_official_telephone_number": "208-557-2716",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "64",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806528800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.