Active NPI
Mountain Valley Health Services
Doing business as Mountain Valley
- Home Health Agency
- Pocatello, ID
National Provider Identifier
1730365867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MOUNTAIN VALLEY HEALTH SERVICES
- Doing business as
- Mountain Valley
- Practice address
- 342 Yellowstone Ave
Pocatello, ID 83201-4530 - Phone
- (208) 479-1996
- Fax
- (801) 880-4448
- NPI assigned
- Jan 18, 2008
- Last updated
- Jan 18, 2008
- 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
- Mr. Robert N Perkins
- Title
- Ceo
- Phone
- (801) 725-0252
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Community Based Hospice Care Agency | 251G00000X | NU |
Addresses
Primary practice location
342 Yellowstone Ave
Pocatello, ID 83201-4530
Mailing address
342 Yellowstone Ave
Pocatello, ID 83201-4530
Phone (208) 479-1996
Other names 1
- Mountain Valley
National Provider Directory
National Provider DirectoryLocations
342 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 479-1996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1730365867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 YELLOWSTONE AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014530",
"telephone_number": "208-479-1996",
"fax_number": "801-880-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 YELLOWSTONE AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014530",
"telephone_number": "208-479-1996",
"fax_number": "801-880-4448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VALLEY HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-725-0252",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain Valley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pocatello, ID
- Mary Louise Morrison, LPC
- Morgan Morrison
- Alisha Moses
- Mother Nurture Lactation Consulting LLC
- Mountain Healing Counseling LLC
- Mountain Valley Hospice, Inc
- Mountain Valley Imaging Partners
- Mountain View Family Medicine, Inc
- Mountain View Hospital LLC (Pain and Spine Specialists of Idaho)
- Julia Lancaster Muckerman, CNM, MSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.