NPI age
19 years
Enumerated 2006-06-14
● Active Type 2 · Organization
Subpart
West Valley Medical Center Inc
West Valley Medical Center Inc is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
Ceo
Last NPPES update
2018-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1717 Arlington Ave
Caldwell, ID 83605
Mailing address
1717 Arlington Ave
Caldwell, ID 836054802
Authorized official
Kathy Moore
Ceo
📞 2084553718
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Harsh Vardhan Agrawal, MD Internal Medicine NPI 1760663900
- Richard Augustus, MD Family Medicine NPI 1699717793
- Brett Bemis Physician Assistant NPI 1528429172
- Daniel Bonilla, CRNA Nurse Anesthetist, Certified Registered NPI 1386408730
- Derek Bronson Physician Assistant NPI 1962932343
- Gavin Bruderer, CRNA, MSNA Nurse Anesthetist, Certified Registered NPI 1427730910
- David Calley, PHARM D Pharmacist NPI 1578103180
- Caleb Celuch, RN Registered Nurse NPI 1639884935
- Joseph Eastman, M.D. Pathology NPI 1396772273
- Larry Edgerton, CRNA Nurse Anesthetist, Certified Registered NPI 1215082599
- Sarina Folwell, RN Registered Nurse NPI 1609357003
- Brandon Guthrie, PHARMD Pharmacist NPI 1316677180
- Wesley Harding Pharmacy NPI 1508708215
- Travis Henderson, CRNA Nurse Anesthetist, Certified Registered NPI 1093258386
- Holly Hillier, PHARMD Pharmacist NPI 1588519417
- Nathanael Hogg, D.O Internal Medicine NPI 1225420250
- Jaime Holcomb, R.D. L.D. Dietitian, Registered NPI 1932330966
- Nathan Holmes, DO Internal Medicine NPI 1396151148
- Randy James, M.D. Radiology NPI 1447287263
- Rikki Koberlein, RN Registered Nurse NPI 1427871201
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805094000 | |
| 05 (ID) | 804302300 |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of West Valley Medical Center, Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.