Vista Healthcare Pc

LBN: Vista Healthcare Pc
Vista Healthcare Pc is an health care organization with primary practice located at 556 Trejo St Ste B , Rexburg ID 83440-2626. The organization recently has 6 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Vista Healthcare Pc can be contacted via phone (208) 351-6981, or through Jones, Rachelle via phone (208) 881-0902.

Contact Information

Primary practice address
556 Trejo St Ste B Rexburg ID 83440-2626
Phone: (208) 351-6981
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Rachelle FNP-C
Phone: (208) 881-0902

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X NP-914A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-914A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-914A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-914A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP-914A
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X

Profile Details

NPI number 1720502370
LBN Legal business name Vista Healthcare Pc
DBA Doing business as
Authorized official Jones, Rachelle FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2017
Last updated Nov 17th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720502370 NPPES
Idaho MEDICAID 1982830345

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