Valley Vista Care Corporation

NPI #1134296437 in St Maries, Idaho

Provider Information

NPI Number: 1134296437
Entity Type: Organization
Organization Name: Valley Vista Care Corporation
Primary Specialty: Family Medicine
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 820 ELM ST
City: St Maries
State: Idaho
ZIP Code: 83861-2119
Phone: (208) 245-4576

Authorized Official

Name: GAIL MILLS
Title: CORPORATE COMPLIANCE MANAGER
Phone: (208) 245-4576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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