St Lukes Idaho Cardiology Associates, NPI 1770873572
Cardiovascular Disease Physician in Caldwell, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1770873572 |
| NPI Entity Type | Organization |
| Provider Name | St Lukes Idaho Cardiology Associates |
| Subpart of Organization | Grande Ronde Hospital, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 315 E Elm St, Suite 350, Caldwell, ID, US |
| Provider Mailing Address | 900 Sunset Dr, Po Box 3290, La Grande, OR, US, 978501362 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. James A Mattes |
| Official Position | PRESIDENT/CEO |
| Phone | 541-963-1454 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Cardiovascular Disease Physician |
| Classification | |
| Group | |
| License No. | 140728 |
| License State | OR |
| Description | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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DPT Scott Treat Individual |
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DR. D.C. Julie Lee Restad Individual |
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MSOTR/L Michelle Leigh Dietz Individual |
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MS. PA-C Ivy Meg Wilson Individual |
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DR. PHARMD Victoria Emenari Individual |
4400 E Flamingo Ave |
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Shannon Finnegan Individual |
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Mrc Llc Organization |
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Highland Physical Therapy Llc Organization |
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Bruce W Hamerl O D P C Organization |
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Front Line Ems, Llc Organization |
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MRS. RPT Kimberly W Schwarze Individual |
1951 Bench Rd Suite E |
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PA-C Todd M Otstot Individual |
206 E Elm St |
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PT, DPT Katherine Buschhorn Individual |
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Odyssey Healthcare Operating B, Lp Organization |
1230 Northwood Center Ct. Ste. B |
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