CENTER STREET HEALTH CARE LLC
NPI 1417104530
Nurse Practitioner - Family in Pocatello, ID

Active since August 20, 2008
1553 E CENTER ST, POCATELLO, ID 83201(208) 233-9355(208) 233-9300 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Center Street Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER STREET HEALTH CARE LLC (NPI 1417104530) is a healthcare organization registered as a family in Pocatello, Idaho and active in the NPI registry since August 2008. The organization lists Cynthia Marie Rice, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1417104530
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTER STREET HEALTH CARE LLC
Location Address1553 E CENTER STPocatello, ID 83201-4135
Mailing Address1553 E Center StPocatello, ID 83201-4135 · (208) 233-9355 · Fax (208) 233-9300
Fax(208) 233-9300
Organization SubpartNo
Authorized OfficialCynthia Marie RiceOwner/provider · (208) 233-9355
Enumeration DateAugust 20, 2008
Last NPPES UpdateSeptember 30, 2008
NPI 1417104530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · NP252A
1553 E CENTER ST, Pocatello, ID 83201

Other Identifiers 2

Medicare UPINR94903ID
Medicaid004383300ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1553 E CENTER ST
POCATELLO, ID 83201
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1553 E CENTER ST
POCATELLO, ID 83201
Clinic/Center (Sleep Disorder Diagnostic)
1553 E CENTER ST
POCATELLO, ID 83201
Nurse Practitioner
1553 E CENTER ST
POCATELLO, ID 83201
Specialist
1553 E CENTER ST
POCATELLO, ID 83201
Physician Assistant (Medical)
1553 E CENTER ST
POCATELLO, ID 83201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center Street Health Care LLC's NPI number?

The NPI number for Center Street Health Care LLC is 1417104530. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Center Street Health Care LLC located?

Center Street Health Care LLC is located at 1553 E Center St, Pocatello, ID 83201. The listed phone number is (208) 233-9355.

What is Center Street Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Center Street Health Care LLC was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.