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Contact Information

VALLEY VISTA CARE CORPORATION
220 S DIVISION AVE
SANDPOINT, ID83864-1759
 Phone: 208-265-4514
 Fax: 208-263-3789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for VALLEY VISTA CARE CORPORATION

NPI # 1497761050
LBN Legal business name VALLEY VISTA CARE CORPORATION
Authorized official KASEY WILKS - (DIRECTOR OF CORPORATE COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 04/09/2025 - More than a year ago
Identifiers
ID License # 10
ID Medicaid 805673300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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