FALLS AVENUE IMMEDIATE CARE PA NPI 1912481292

NPI Information

FALLS AVENUE IMMEDIATE CARE PA is a primary care clinic center in Twin Falls, ID. FALLS AVENUE IMMEDIATE CARE PA NPI is 1912481292. The provider is registered as an organization entity type.

The provider's business location address is:

260 FALLS AVE STE D
TWIN FALLS, ID
ZIP 83301-370
Phone: (208) 733-6700
Fax: (208) 733-0803

The provider's authorized official is W Scott Rudeen .
The authorized official title is Owner and has the following contact phone number (208) 733-6700.

The CLIA number assigned to this NPI record is 13D2149215 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/21/2018 and was last updated on 2/7/2022.

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:

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.