NPIMap

Organization Active NPI

Valley Vista Care Corporation

  • Community/Behavioral Health Agency
  • St Maries, ID
National Provider Identifier
1194892489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VALLEY VISTA CARE CORPORATION
Practice address
127 S 7TH St
St Maries, ID 83861-1801
Phone
(208) 245-1920
Fax
(208) 245-9206
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gail Mills
Title
Corporate Compliance Manager
Phone
(208) 245-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

127 S 7TH St
St Maries, ID 83861-1801

Mailing address

820 Elm St
St Maries, ID 83861-2119
Phone (208) 245-4576

Other names 1

  • Vista Outreach - PSR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley Vista Care Corporation20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194892489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ELM ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838612119",
            "telephone_number": "208-245-4576",
            "fax_number": "208-245-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S 7TH ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838611801",
            "telephone_number": "208-245-1920",
            "fax_number": "208-245-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VISTA CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "208-245-4576"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Outreach - PSR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Maries, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.