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FALL RIVER MEDICAL, PLLC , NPI 1457698987

Clinic/Center in REXBURG, ID

Last Updated on : Nov 19,2019

FALL RIVER MEDICAL, PLLC , NPI 1457698987

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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