MAGIC VALLEY FAMILY PRACTICE PLLC NPI 1528251519

NPI Information

NPI: 1528251519
Provider Name: MAGIC VALLEY FAMILY PRACTICE, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 13D1068152

Address:
1182 EASTLAND DR N
SUITE B
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-5117
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MAGIC VALLEY FAMILY PRACTICE, PLLC is a primary care clinic center in Twin Falls, ID. MAGIC VALLEY FAMILY PRACTICE, PLLC NPI is 1528251519. The provider is registered as an organization entity type.

The provider's business location address is:

1182 EASTLAND DR N
SUITE B
TWIN FALLS, ID
ZIP 83301-972
Phone: (208) 733-5117
Fax: (208) 733-5143

The provider's authorized official is Drew B Simmons .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (208) 733-5117.

The CLIA number assigned to this NPI record is 13D1068152 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/22/2007 and was last updated on 10/15/2007.

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	261QP2300X	Clinic/Center	Primary Care	NP444A	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: 11/14/2023

NPI Synchronization or Removal

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