MOUNTAIN FALLS QUICK CARE NPI 1235682121

NPI Information

NPI: 1235682121
Provider Name: MOUNTAIN FALLS QUICK CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 13D1004238

Address:
1995 E 17TH ST #1
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 357-9193
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MOUNTAIN FALLS QUICK CARE is an urgent care clinic center in Idaho Falls, ID. MOUNTAIN FALLS QUICK CARE NPI is 1235682121. The provider is registered as an organization entity type.

The provider's business location address is:

1995 E 17TH ST #1
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 357-9193
Fax: (208) 357-9173

The provider's authorized official is Kenneth Lowther .
The authorized official title is Clinical Director and has the following contact phone number (208) 541-0920.

The CLIA number assigned to this NPI record is 13D1004238 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 7/27/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	363LF0000X	IDAHO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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