Active NPI
Concordia Health Care Inc
Doing business as Concordia Care Center
- Skilled Nursing Facility
- Pocatello, ID
National Provider Identifier
1407240419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 37
- Legal business name
- CONCORDIA HEALTH CARE INC
- Doing business as
- Concordia Care Center
- Practice address
- 1200 Hospital Way
Pocatello, ID 83201-2708 - Phone
- (208) 232-2570
- Fax
- (208) 233-6769
- NPI assigned
- Mar 27, 2015
- Last updated
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Louise Taylor
- Title
- President & Ceo
- Phone
- (208) 221-9137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 37 | ID | Primary |
Addresses
Primary practice location
1200 Hospital Way
Pocatello, ID 83201-2708
Mailing address
2520 S 5TH Ave
Pocatello, ID 83204-1923
Phone (208) 221-9137
Other names 1
- Concordia Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Concordia Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427414400000",
"number": "1407240419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 S 5TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832041923",
"telephone_number": "208-221-9137",
"fax_number": "888-222-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HOSPITAL WAY",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012708",
"telephone_number": "208-232-2570",
"fax_number": "208-233-6769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCORDIA HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "208-221-9137"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": "37",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concordia Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pocatello, ID
- Community Mental Health Services
- Community Mental Health Services
- Community Mental Health Services, Inc.
- Community Wellness Center, Inc
- Cristina Maria Da Silva Comparini, PHARMD
- Concordia Health Care Inc (Concordia Hospital)
- John P Condron, M.S., L.C.P.C.
- Ronald James Conlin, M.S. CCC-A
- Connections Family Medicine LLC (Connections Family Medicine)
- John Shelton Conner Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.