Organization · Type 2 NPI
Fall River Medical, PLLC
Primary Care Clinic/Center · Rexburg, ID
NPI number
1457698987
Active
Practice location
21 Winn Dr
Rexburg, ID 83440
Fax (877) 441-4715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | O-0518 (ID) |
| Primary Care Clinic/Center Primary | 261QP2300X | O-0518 (ID) |
| Research Clinic/Center | 261QR1100X | O-0518 (ID) |
| Urgent Care Clinic/Center | 261QU0200X | O-0518 (ID) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Primary Care Clinic/Center: Definition to come...
5 other providers at this address
- Austin C. GilletteFamily Medicine Physician Rexburg, ID NPI 1083810287
- Brennen Larsen, PA-CPhysician Assistant Rexburg, ID NPI 1740659010
- Jeremiah D. Buehner, PAPhysician Assistant Rexburg, ID NPI 1528623303
- Joshua L. Gilgen, PA-CPhysician Assistant Rexburg, ID NPI 1861818734
- Kelly L. Dustin, DOFamily Medicine Physician Rexburg, ID NPI 1114957362
Other primary care clinic/center providers in Rexburg
About NPI 1457698987
Fall River Medical, PLLC's National Provider Identifier is 1457698987, issued on Jan 3, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Rexburg, ID. The record was last updated on Nov 19, 2019.