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GENE K. HODGES M.D. NPI 1659405140


NPI Information

NPI: 1659405140
Provider Name: GENE K. HODGES M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
2065 E 17TH ST
SUITE A
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 522-3301
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GENE K. HODGES M.D. is an adult medicine family medicine in Idaho Falls, ID. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. GENE K. HODGES M.D. NPI is 1659405140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2065 E 17TH ST
SUITE A
IDAHO FALLS, ID
ZIP 83404-042
Phone: (208) 522-3301
Fax: (208) 522-3414

The provider's authorized official is Gene K Hodges .
The authorized official title is Owner and has the following contact phone number (208) 522-3301.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 11/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineM4937IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1808464700MEDICAIDIDAHO
21164755104OTHERIDAHOINDIVIDUAL NPI NUMBER
3000316100MEDICAIDIDAHO
41316055320OTHERIDAHOINDIVIDUAL NPI NUMBER
51117710MEDICARE PINIDAHO
6B63719MEDICARE UPINIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.