Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Rock Medical Center LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1083372890

Eagle Rock Medical Center LLC is a Physical Medicine & Rehabilitation Physician in Idaho Falls, Idaho. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

919 S Utah Ave
Idaho Falls, ID 83402-3322
Phone: (208) 425-6020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1083372890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendon Howard — Ceo · (208) 972-0420
NPI enumeratedNovember 30, 2021
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing address919 S Utah Ave, Idaho Falls, ID 83402-3322

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