ORANGE LLC. NPI 1336415769

NPI Information

NPI: 1336415769
Provider Name: ORANGE LLC.

Doing Business As: MEDICARE & FAMILY PRACTICE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3652 WASHINGTON PKWY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 419-0593
Get Directions

ORANGE LLC. is a family nurse practitioner in Idaho Falls, ID. ORANGE LLC. NPI is 1336415769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medicare & Family Practice.

The provider's business location address is:

3652 WASHINGTON PKWY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 419-0593
Fax: (208) 524-1222

The provider's authorized official is Brandy Flegel .
The authorized official title is Chief Operating Officer and has the following contact phone number (208) 419-0593.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 4/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP-1660A	IDAHO	No
2	261QM2500X	Clinic/Center	Medical Specialty	M-10400	IDAHO	No
3	207Q00000X	Family Medicine		M-10400	IDAHO	No
4	261QM2500X	Clinic/Center	Medical Specialty	NP1660A	IDAHO	No
5	363LF0000X	Nurse Practitioner	Family	NP1660A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20000653	MEDICARE UPIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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