Albion Valley Health Clinic Inc.
Organization Active NPI Primary Care Clinic/Center · Burley, ID
NPI 1285024497 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1285024497
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- NP-1514A (ID)
- Legal business name
- ALBION VALLEY HEALTH CLINIC INC.
- Practice address
- 400 West 5TH Street
Burley, ID 83318 - Phone
- (208) 312-9740
- Fax
- (208) 678-0910
- NPI assigned
- Jan 26, 2015
- Organization subpart
- No
Authorized official
- Name
- Amanda L Ward, NP-C
- Title
- Owner
- Phone
- (208) 312-9740
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NP-1514A | ID | Yes |
Addresses
Primary practice location
400 West 5TH Street
Burley, ID 83318
Mailing address
PO Box 43
Albion, ID 83311-0043
Phone (208) 312-9740
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.