MH Health Care Services, PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MH HEALTH CARE SERVICES, PC

Practice address

415 W Collins Rd
C/O Baf Employee Health Center
Blackfoot, ID 83221-5642

Phone

(802) 857-0400

NPI assigned

May 20, 2015

Last updated

May 20, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

MH HEALTH CARE SERVICES, PCAs reported in NPPES

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

Authorized official

Name

Nancy Carlson, M.D.

Title

President

Phone

(802) 857-0400

Specialties & licenses 1

Addresses

Other names 1

• MH Health Care Services at BAF Other name

Tax ID family

MH Health Care Services PC156 organizations share this tax ID, including this one

Part of

MH Health Care Services PC

Locations

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1134508443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054040005",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W COLLINS RD",
            "address_2": "C/O BAF EMPLOYEE HEALTH CENTER",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215642",
            "telephone_number": "802-857-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH HEALTH CARE SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH HEALTH CARE SERVICES, PC",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MH Health Care Services at BAF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew McAbery, PT
• Steve McClellan, CRNA
• Julia McGee, PA-C
• Kirt M McKinlay, MD
• Jody Jon McLaws
• Camile Michaelson, RD, LD
• Robert Nathan Miller, PHARM-D
• Tanner D Mitton, PA-C
• Jordan Breanne Moore
• Alex Morgan, CRNA

• Nurse Practitioner in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.