Idaho Falls Clinic, P.A. in Idaho Falls - Clinic/center
Idaho Falls Clinic, P.A. - NPI 1811932411
Idaho Falls Clinic, P.A. is a Clinic/center in Idaho Falls, Idaho. Idaho Falls Clinic, P.A. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Idaho Falls Clinic, P.A. is 1811932411. The last update date is 2020-08-22.
Idaho Falls Clinic, P.A.'s current location address is 2001 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085227310 and fax number 2085240559. The mailing address for Idaho Falls Clinic, P.A. is 2001 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Falls Clinic, P.A. |
|---|---|
| Address | 2001 S Woodruff Ave, Idaho Falls, Idaho |
| Phone Number | 2085227310 |
| Fax Number | 2085240559 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Clark C. Christine |
| Telephone Number | 2085227310 |
NPI Number Detail
| NPI Number | 1811932411 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2001 S Woodruff Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046374 |
| Phone Number | 2085227310 |
| Fax Number | 2085240559 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P9154 | ID | RR MEDICARE | |
| I843154 | ID | TRICARE | |
| 88468 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the Idaho Falls Clinic, P.A.'s unique identification number?
The Idaho Falls Clinic, P.A. has been assigned the NPI (National Provider Identifier) Number 1811932411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Idaho Falls Clinic, P.A. is geographically located?
The Idaho Falls Clinic, P.A. is physically situated at the following location: 2001 S Woodruff Ave, Idaho Falls, ID, 834046374.
What is Idaho Falls Clinic, P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Idaho Falls Clinic, P.A. is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811932411 to Idaho Falls Clinic, P.A.?
The Idaho Falls Clinic, P.A. received its 1811932411 assignment from the Centers for Medicare & Medicaid Services on 2006-06-18.
When was the information regarding Idaho Falls Clinic, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Idaho Falls Clinic, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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