# TREASURE VALLEY MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOLY ROSARY MEDICAL CENTER
- **Other names:** Treasure Valley Internal Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982694345
- **Legal business name:** HOLY ROSARY MEDICAL CENTER
- **Authorized official:** HEATHER LYNN RIVERA (PRACTICE MANAGER)
- **Authorized official phone:** (541) 881-7358

## Contact information

- **Practice address:** 1050 SW 3RD AVE, SUITE 3200, ONTARIO, OR 97914-2193
- **Practice address phone:** (541) 881-7370
- **Practice address fax:** (541) 881-7379
- **Mailing address:** 351 SW 9TH ST, ONTARIO, OR 97914-2639
- **Mailing address phone:** (541) 881-7370
- **Mailing address fax:** (541) 881-7379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 12/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 134400 | OMAP GROUP NUMBER | OR |
| 01 | — | DB4506 | RAILROAD MEDICARE | OR |