Valley True Health LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA994 Issued in ID

Legal business name

VALLEY TRUE HEALTH LLC

Practice address

519 E. Main St.
Burley, ID 83318-1936

Phone

(208) 878-8783

Fax

(208) 878-8786

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jaron Brent Simonson

Title

Manager

Phone

(208) 406-4738

Specialties & licenses 1

Addresses

Locations

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.

• Richard Benjamin Webster, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1770797672
  NPD

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1619365707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E. MAIN ST.",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181936",
            "telephone_number": "208-878-8783",
            "fax_number": "208-878-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E. MAIN ST.",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181936",
            "telephone_number": "208-878-8783",
            "fax_number": "208-878-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY TRUE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "JARON",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-406-4738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Square Dental-Burley PLLC
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• Kenneth R Turner, D.C.
• Travis Lee Turner, D.C.
• Urgent Care of Idaho, LLC (Urgent Care of Idaho - Burley)
• Victoria Vasquez Davila, NCMA
• Wal-Mart Stores, Inc (Vision Center 30-1900)
• Walgreen Co (Walgreens #13673)
• Jacob Walker, PA-C
• Walmart Inc. (Walmart Pharmacy 10-1900)

• Physician Assistant in Burley, ID
• Providers in Burley, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.