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INTERMOUNTAIN SPINE AND ORTHOPEDICS PC NPI 1821036724


NPI Information

NPI: 1821036724
Provider Name: INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
1411 FALLS AVE E
SUITE 1301
TWIN FALLS, ID
ZIP 83301
Phone: (208) 732-0067
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INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC is an orthopaedic surgery of the spine orthopaedic surgery in Twin Falls, ID. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC NPI is 1821036724. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1411 FALLS AVE E
SUITE 1301
TWIN FALLS, ID
ZIP 83301-455
Phone: (208) 732-0067
Fax: (208) 732-3195

The provider's authorized official is David M Christensen .
The authorized official title is Owner and has the following contact phone number (208) 732-0067.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 10/1/2020.


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
1207Q00000XFamily MedicineNo
2261QU0200XClinic/CenterUrgent CareNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

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
18J828OTHERIDAHOBLUE CROSS
2DC8006OTHERIDAHORR MEDICARE
3000010148684OTHERIDAHOBLUE SHIELD
4807012500MEDICAIDIDAHO

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

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