| Vannvei Llc | |
|
1522 17th St Lewiston ID 83501-3652 | |
| (208) 743-8416 | |
| Not Available |
| Full Name | Vannvei Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1522 17th St, Lewiston, Idaho |
| Authorized Official Name and Position | Teresa Gall (CONTROLLER) |
| Authorized Official Contact | 5097585511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vannvei Llc Po Box 341 Lewiston ID 83501-0341 Ph: () - | Vannvei Llc 1522 17th St Lewiston ID 83501-3652 Ph: (208) 743-8416 |
| NPI Number | 1881200517 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 11/30/2020 |
| Medicare PECOS PAC ID | 1254743420 |
|---|---|
| Medicare Enrollment ID | O20201211000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881200517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Theresa M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740331842 PECOS PAC ID: 2062400419 Enrollment ID: I20040504000876 |
| Provider Name | James F Maguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811006091 PECOS PAC ID: 8729065073 Enrollment ID: I20040717000224 |
| Provider Name | John W Mannschreck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942251376 PECOS PAC ID: 2466438205 Enrollment ID: I20050215000439 |
| Provider Name | Paul Joseph Sanchirico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750465514 PECOS PAC ID: 3375553860 Enrollment ID: I20060427000678 |
| Provider Name | Cheryl A Loetscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689766834 PECOS PAC ID: 4789685025 Enrollment ID: I20070129000695 |
| Provider Name | Gregory R Spurling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568464493 PECOS PAC ID: 9739273319 Enrollment ID: I20090624000731 |
| Provider Name | Celso R Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386795565 PECOS PAC ID: 1254320252 Enrollment ID: I20100707000524 |
| Provider Name | Jennifer Collette Creaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588772461 PECOS PAC ID: 6406853159 Enrollment ID: I20101213000679 |
| Provider Name | Cody B Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992081467 PECOS PAC ID: 1557529526 Enrollment ID: I20150218001979 |
| Provider Name | Michael T Burtis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396765335 PECOS PAC ID: 9830405281 Enrollment ID: I20150831000866 |
| Provider Name | Judith M Rooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134510738 PECOS PAC ID: 0143539007 Enrollment ID: I20151016000867 |
| Provider Name | Dallen B Ashby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851555478 PECOS PAC ID: 8325192982 Enrollment ID: I20160111000863 |
| Provider Name | John Bradley Rudolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548503022 PECOS PAC ID: 1759604309 Enrollment ID: I20170116000186 |
| Provider Name | Sherry E Sweikert-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831676048 PECOS PAC ID: 0446594998 Enrollment ID: I20181210003240 |
| Provider Name | Elina Chernyak |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1710110820 PECOS PAC ID: 4082877899 Enrollment ID: I20190723003451 |
| Provider Name | John F Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992152326 PECOS PAC ID: 6103112339 Enrollment ID: I20191107002683 |
| Provider Name | Brandon L Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124353719 PECOS PAC ID: 9436572740 Enrollment ID: I20201124003092 |
| Provider Name | John Whitaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013986249 PECOS PAC ID: 8729069885 Enrollment ID: I20210611002214 |
| Provider Name | Lacey Byxbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710276 PECOS PAC ID: 9830587740 Enrollment ID: I20211026002716 |
| Provider Name | Nicholas B Hardin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265774954 PECOS PAC ID: 3375884836 Enrollment ID: I20230426001419 |
| Provider Name | Robert M Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366532236 PECOS PAC ID: 4284721143 Enrollment ID: I20230508000052 |
| Provider Name | Angela Noel Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093026387 PECOS PAC ID: 1759519952 Enrollment ID: I20230516003592 |
| Provider Name | Dezirae Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740994268 PECOS PAC ID: 7810356441 Enrollment ID: I20230629003089 |
| Provider Name | Ryan Joseph Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356124432 PECOS PAC ID: 0749635985 Enrollment ID: I20231009001925 |
| Provider Name | Lindsey Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629664388 PECOS PAC ID: 0648684076 Enrollment ID: I20231204001887 |
| Provider Name | Thomas Owen Markel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639144728 PECOS PAC ID: 3173560661 Enrollment ID: I20240104003218 |
| Provider Name | Charles De Jesus Morales |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710388681 PECOS PAC ID: 2365801339 Enrollment ID: I20240214003436 |
Southway Internists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway, Suite C, Lewiston, ID 83501 Phone: 208-746-1333 Fax: 208-746-8090 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
Laennec Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5522 | |
St. Joseph Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Thain Grade, Lewiston, ID 83501 Phone: 208-717-3100 Fax: 208-717-3099 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
North Central District Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-0349 |