| Healthcare With Heart Llc | |
|
823 Center Ave Payette ID 83661-2535 | |
| (208) 642-3396 | |
| (208) 642-9060 |
| Full Name | Healthcare With Heart Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 823 Center Ave, Payette, Idaho |
| Authorized Official Name and Position | Ronald Eugene Carroll (OWNER) |
| Authorized Official Contact | 2089890070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare With Heart Llc 823 Center Ave Payette ID 83661-2535 Ph: (208) 642-3396 | Healthcare With Heart Llc 823 Center Ave Payette ID 83661-2535 Ph: (208) 642-3396 |
| NPI Number | 1053521344 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 2062463979 |
|---|---|
| Medicare Enrollment ID | O20050208001053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053521344 | NPI | - | NPPES |
| 231902 | Medicaid | OR | |
| 806957500 | Medicaid | ID | |
| NPPU5 | Other | BLUE CROSS-LP | |
| 73437 | Other | BLUE CROSS-REC | |
| 8K818 | Other | BLUE CROSS-GROUP | |
| R108734 | Other | NORIDIAN | |
| 000010147752 | Other | REGENCE-LP | |
| 278542 | Medicaid | OR | |
| 000010005775 | Other | REGENCE-REC | |
| 0036365 | Medicaid | ID | |
| D80174720 | Other | MEDICARE-RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4116 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | N19189 (Idaho) | Secondary |
| Provider Name | Alisha L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205972544 PECOS PAC ID: 6709838030 Enrollment ID: I20050215000917 |
| Provider Name | Ronald E Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790821122 PECOS PAC ID: 7315998226 Enrollment ID: I20050215000989 |
| Provider Name | Ben Barbot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932550845 PECOS PAC ID: 6709157092 Enrollment ID: I20170808001458 |
| Provider Name | Joann Elizabeth Buhr-cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881812691 PECOS PAC ID: 0648450569 Enrollment ID: I20171102002565 |
| Provider Name | Sarah B Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720144793 PECOS PAC ID: 2961889381 Enrollment ID: I20220524001272 |
| Provider Name | Crystal Shanice Flores-alamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932889318 PECOS PAC ID: 1052757242 Enrollment ID: I20240311001311 |
Payette Family Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 S 16th St, Payette, ID 83661 Phone: 208-642-6160 Fax: 208-642-6171 | |
Valley Family Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Valley Family Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Family Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 16th St Ste 108, Payette, ID 83661 Phone: 208-642-6160 Fax: 208-642-6171 |