NPIMap

Organization Active NPI

Albion Valley Health Clinic Inc.

  • Primary Care Clinic/Center
  • Burley, ID
National Provider Identifier
1285024497
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NP-1514A Issued in 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
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Amanda L Ward, NP-CNPI 1952707184
Title
Owner
Phone
(208) 312-9740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NP-1514A ID Primary

Addresses

Primary practice location

400 West 5TH Street
Burley, ID 83318

Mailing address

PO Box 43
Albion, ID 83311-0043
Phone (208) 312-9740

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1285024497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "ALBION",
            "state": "ID",
            "postal_code": "833110043",
            "telephone_number": "208-312-9740",
            "fax_number": "208-678-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST 5TH STREET",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "83318",
            "telephone_number": "208-312-9740",
            "fax_number": "208-678-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBION VALLEY HEALTH CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-312-9740",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "NP-1514A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.