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Mountain Falls Quick Care

Clinic/Center, Urgent Care in Idaho Falls, ID. Organization (NPI-2).

NPI number1235682121
StatusActive
Last updated in NPPESJul 27, 2016

Details

NPI
1235682121
Entity type
Organization (NPI-2)
Legal business name
Mountain Falls Quick Care
Organization subpart
No
Enumeration date
Jul 27, 2016
Last updated
Jul 27, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care363LF0000XIDYes

Practice location

1995 E 17th St #1
Idaho Falls, ID 83404

Phone 208-357-9193 · Fax 208-357-9173

Mailing address

1995 E 17th St #1
Idaho Falls, ID 83404

Phone 208-357-9193 · Fax 208-357-9173

Authorized official

Kenneth Lowther
Clinical Director
2085410920

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Urgent Care Clinic/Center providers in Idaho Falls, ID

All 6 Urgent Care Clinic/Center providers in Idaho Falls · All 3,646 providers in Idaho Falls

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