Active NPI
Mountain Valley Hospice, Inc
- Community Based Hospice Care Agency
- Pocatello, ID
National Provider Identifier
1700981024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MOUNTAIN VALLEY HOSPICE, INC
- Practice address
- 444 Hospital Way
Suite 411
Pocatello, ID 83201-2701 - Phone
- (208) 478-6677
- Fax
- (208) 478-1363
- NPI assigned
- Sep 13, 2006
- 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
- Ms. Vicki L. Beecher
- Title
- Ceo
- Phone
- (801) 476-4410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | ID | Primary |
Addresses
Primary practice location
444 Hospital Way
Suite 411
Pocatello, ID 83201-2701
Mailing address
444 Hospital Way
Suite 411
Pocatello, ID 83201-2701
Phone (208) 478-6677
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Valley Hospice Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Ogden, UT
- NPI 1376648790
Locations
444 Hospital Way
Ste 411
Pocatello, ID 83201
Phone (208) 478-6677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700981024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 HOSPITAL WAY",
"address_2": "SUITE 411",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012701",
"telephone_number": "208-478-6677",
"fax_number": "208-478-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 HOSPITAL WAY",
"address_2": "SUITE 411",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012701",
"telephone_number": "208-478-6677",
"fax_number": "208-478-1363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VALLEY HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEECHER",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-476-4410",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.