Organization Active NPI

Desert View Care Center of Buhl, LLC

  • Skilled Nursing Facility
  • Buhl, ID
National Provider Identifier
1679880926
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
27 Issued in ID
Legal business name
DESERT VIEW CARE CENTER OF BUHL, LLC
Practice address
820 Sprague Ave
Buhl, ID 83316-1827
Phone
(208) 543-6401
Fax
(208) 543-4221
NPI assigned
Sep 8, 2010
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Mr. James B Everton
Title
Ceo
Phone
(208) 233-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 27 ID Primary

Addresses

Primary practice location

820 Sprague Ave
Buhl, ID 83316-1827

Mailing address

275 S 5TH Ave
Lower Level
Pocatello, ID 83201-6400
Phone (208) 233-4673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1679880926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S 5TH AVE",
            "address_2": "LOWER LEVEL",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016400",
            "telephone_number": "208-233-4673",
            "fax_number": "208-233-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SPRAGUE AVE",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833161827",
            "telephone_number": "208-543-6401",
            "fax_number": "208-543-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW CARE CENTER OF BUHL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "EVERTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-233-4673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buhl, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.