Organization Active NPI

Treasure Valley Family Health Care, LLC

  • Health Service Clinic/Center
  • Eagle, ID
National Provider Identifier
1982026571
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
W104488 Issued in ID
Legal business name
TREASURE VALLEY FAMILY HEALTH CARE, LLC
Practice address
1055 N Echohawk Way
Eagle, ID 83616-5456
Phone
(208) 631-6396
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Gregory Scott Howard, NP
Title
Member
Phone
(208) 631-6396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X W104488 ID Primary

Addresses

Primary practice location

1055 N Echohawk Way
Eagle, ID 83616-5456

Mailing address

1055 N Echohawk Way
Eagle, ID 83616-5456
Phone (208) 631-6396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1982026571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N ECHOHAWK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165456",
            "telephone_number": "208-631-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N ECHOHAWK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165456",
            "telephone_number": "208-631-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY FAMILY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-631-6396",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "W104488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.