FALL RIVER MEDICAL, PLLC , NPI 1457698987
Clinic/Center in REXBURG, ID
Last Updated on : Nov 19,2019
About FALL RIVER MEDICAL, PLLC (NPI 1457698987)
FALL RIVER MEDICAL, PLLC is a Clinic/Center in REXBURG, United States with a focus in Primary Care .
1457698987 is NPI number of FALL RIVER MEDICAL, PLLC.
FALL RIVER MEDICAL, PLLC's primary taxonomy code based on NPI Lookup is 261QP2300X with license number O-0518. This taxonomy code refers to Clinic/Center.
FALL RIVER MEDICAL, PLLC current practice location address is 21 WINN DR, REXBURG, ID. FALL RIVER MEDICAL, PLLC can be reached out via phone at 208-881-5222 and via fax at 877-441-4715 .
You can also correspond with FALL RIVER MEDICAL, PLLC through mail at mailing address 21 WINN DR, REXBURG, ID, United States. Mailing address contact number is 208-220-1057.
The enumeration date of FALL RIVER MEDICAL, PLLC is 03-Jan-2013. The provider is registered as an Organization and the NPI record was last updated 4 years ago. The authorized official of FALL RIVER MEDICAL, PLLC is Austin Gillette (Owner). Austin Gillette can be reached at 2088815222.1457698987 NPI Information
Basic NPI information of FALL RIVER MEDICAL, PLLC (NPI 1457698987) is provided below.
| Name | FALL RIVER MEDICAL, PLLC |
|---|---|
| National Provider Id (NPI) | 1457698987 |
| Entity Type | Organization |
| Practice Address | 21 WINN DR,
REXBURG, ID, United States |
| Practice Telephone | 208-881-5222 |
| Practice Fax Number | 877-441-4715 |
| Mailing Address | 21 WINN DR ,
REXBURG, ID, United States |
| Mailing Telephone | 208-220-1057 |
| Mailing Fax Number | 188-851-2685 |
| Enumeration Date | 03-Jan-2013 |
| Last Updated Date | 19-Nov-2019 |
FALL RIVER MEDICAL, PLLC (NPI 1457698987) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 261QP2300X | Clinic/Center, Primary Care | O-0518 | ID |
FALL RIVER MEDICAL, PLLC (NPI 1457698987) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | O-0518 | ID |
| N | 261QR1100X | Clinic/Center, Research | O-0518 | ID |
| N | 261QU0200X | Clinic/Center, Urgent Care | O-0518 | ID |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083810287 | Other (non-Medicare) (01) | ID | NPI |
| 1196291 | MEDICARE OSCAR/Certification (06) | ID | |
| 1302907 | MEDICARE OSCAR/Certification (06) | ID | |
| 1972709103 | Other (non-Medicare) (01) | ID | NPI |
FALL RIVER MEDICAL, PLLC (NPI 1457698987) Office Location
Office location of FALL RIVER MEDICAL, PLLC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1457698987 | FALL RIVER MEDICAL, PLLC | Clinic/Center | 21 WINN DR,
REXBURG, ID, United States |
03-Jan-2013 |
| 1487199295 | EMILY MORGAN MARRIOTT | Physical Therapy Assistant | 66 S 1ST W,
REXBURG, ID, United States |
03-Jan-2017 |
| 1538676234 | SHELBY ANN MASON | Physical Therapy Assistant | 627 VALINDA LN,
REXBURG, ID, United States |
03-Jan-2018 |
| 1770813388 | JESSICA LYNN RICKS | Social Worker | 872 CAPITAL AVE,
REXBURG, ID, United States |
04-Jan-2010 |
| 1477738599 | WILLIAM J HOULIHAN | Nurse Anesthetist, Certified Registered | PO BOX 3882,
IDAHO FALLS, ID, United States |
08-Jan-2008 |
| 1134279565 | BRAD RICHARD EGBERT | Chiropractor | 1134 BOND AVE,
REXBURG, ID, United States |
10-Jan-2007 |
| 1013067081 | ALAN R SMITH | Chiropractor, Rehabilitation | 56 E MAIN ST,
REXBURG, ID, United States |
11-Jan-2007 |
| 1760533400 | DALLIN BRIM GAMBLES | Physician Assistant, Medical | 380 WALKER DRIVE,
REXBURG, ID, United States |
16-Jan-2007 |
| 1649321134 | DAVID L DAY | General Practice | 15 JERRY LN,
REXBURG, ID, United States |
13-Jan-2007 |
| 1730419730 | MICHAEL B. KARREN | Nurse Anesthetist, Certified Registered | 656 DELL DR,
REXBURG, ID, United States |
13-Jan-2010 |
| 1649638206 | RICHARD B CLUFF | Clinical Neuropsychologist | 631 VALE LN,
REXBURG, ID, United States |
10-Feb-2016 |
| 1861544587 | UPPER VALLEY RESOURCE AND COUNSELING CENTER | Community/Behavioral Health | 36 N 2ND W,
REXBURG, ID, United States |
16-Jan-2007 |
| 1972654671 | GRACIE ANN HARGRAVES | Counselor, Mental Health | 523 E. 4TH S. ST.,
REXBURG, ID, United States |
16-Jan-2007 |
| 1215089768 | SHANNON KAY WEST | Specialist/Technologist, Other, Surgical Technologist | 1200 BARNEY DAIRY RD,
REXBURG, ID, United States |
17-Jan-2007 |
| 1912320318 | VALLEY HELP AT HOME SENIOR CARE LLC | In Home Supportive Care | 3965 W 2000 S,
REXBURG, ID, United States |
22-Jan-2014 |
| 1912050584 | KATHERINE P. GORRELL | Social Worker, Clinical | 1600 JOHN ADAMS PKWY,
SUITE 102 IDAHO FALLS, ID, United States |
18-Jan-2007 |
| 1629254792 | BARTON J HUNT | Nurse Anesthetist, Certified Registered | 450 E MAIN ST,
REXBURG, ID, United States |
18-Jan-2008 |
| 1255636304 | KATHY LEBARON | Midwife | 334 RANDY DR,
REXBURG, ID, United States |
21-Jan-2011 |
| 1720586209 | BREE ANNE MACKENZIE | Physical Therapy Assistant | 382 PARTRIDGE LN,
REXBURG, ID, United States |
30-Jan-2018 |
| 1588969646 | BRUCE W BLANCHARD | Social Worker, Clinical | 27 K ST,
REXBURG, ID, United States |
21-Jan-2011 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1457698987?1457698987 is the NPI number of FALL RIVER MEDICAL, PLLC.
Where is FALL RIVER MEDICAL, PLLC located?FALL RIVER MEDICAL, PLLC is located at 21 WINN DR, REXBURG, ID.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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