Organization
HIGH DESERT HEART & VASCULAR
Active
Organization
HIGH DESERT HEART & VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN PRICE (CEO)
(208) 781-6039
Entity
Organization
Contact information
Practice address
3015 E GOLDSTONE DR STE 230, MERIDIAN, ID 83642-1224
(208) 834-1046
Mailing address
3015 E GOLDSTONE DR STE 230, MERIDIAN, ID 83642-1224
(208) 834-1046
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285851337
FRED COSTELLO, MD NPI
—
01
—
1679733414
JOSHUA MOZES, MD, NPI
—
01
—
1699720383
DANA PEACHEY
—
01
—
1710914528
DAVID HINCHMAN, MD, NPI
—
01
—
1942474853
DANIEL NOONAN, MD NPI
—
Enumeration date
04/17/2023
Last updated
12/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up