Hti Physician Services of Utah, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HTI PHYSICIAN SERVICES OF UTAH, INC

Practice address

307 Grove
Parma, ID 83660-0840

Phone

(208) 722-5147

NPI assigned

Jun 13, 2006

Last updated

Oct 26, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST VALLEY MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Julie Taylor

Title

Ceo

Phone

(208) 455-3718

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

West Valley Medical Center Inc

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.

• Kristine P Kingery, PA-C

  • Physician Assistant
  • Middleton, ID
  • NPI 1679517155
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1740223502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GROVE",
            "city": "PARMA",
            "state": "ID",
            "postal_code": "836600840",
            "telephone_number": "208-722-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HTI PHYSICIAN SERVICES OF UTAH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST VALLEY MEDICAL CENTER",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-455-3718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740223502",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Clinics, Inc
• Tamia Dancer
• Lajuana Fletcher
• Chanda Gulick, BSN, RN, CEN
• Rosa Herrera
• Ryan Michael Leininger, DMD
• MD Medical Management Inc
• Parma Physical Therapy LLC
• Parma Rural Fire Protection District (Parma Ambulance Service)
• Kaleigh Yvonne Perry, CPM, LM

• Rural Health Clinic/Center in Parma, ID
• Providers in Parma, ID by specialty
• Rural Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.