UPPER VALLEY FAMILY PRACTICE PLLC NPI 1922237874

NPI Information

  • NPI: 1922237874
  • Provider Name: UPPER VALLEY FAMILY PRACTICE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 13D1040809
  • Address: 32 W 1ST S
    REXBURG, ID
    ZIP 83440
  • Phone: (208) 356-8883

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NPI Details

UPPER VALLEY FAMILY PRACTICE, PLLC is a family medicine in Rexburg, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UPPER VALLEY FAMILY PRACTICE, PLLC NPI is 1922237874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 W 1ST S
REXBURG, ID
ZIP 83440-810
Phone: (208) 356-8883
Fax: (208) 656-0292

The provider's authorized official is Jeffrey G Hopkin .
The authorized official title is Owner/ Physican and has the following contact phone number (208) 356-8883.

The CLIA number assigned to this NPI record is 13D1040809 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2009 and was last updated on 4/19/2018.

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
1207Q00000XFamily MedicineM-6910IDAHOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003727500MEDICAIDIDAHO

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: 3/30/2025

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