Fall River Medical, PLLC
Fall River Medical, PLLC is a Clinic/Center in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 5
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21 Winn DrRexburg, ID 83440
Phone: (208) 881-5222
Fax: (877) 441-4715
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence O-0518 (ID) |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence O-0518 (ID) |
| Research Clinic/Center | Taxonomy 261QR1100X · Licence O-0518 (ID) |
| Urgent Care Clinic/Center | Taxonomy 261QU0200X · Licence O-0518 (ID) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1457698987 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Austin Gillette — Owner · (208) 881-5222 |
| NPI enumerated | January 3, 2013 |
| Last updated in NPPES | November 19, 2019 |
| Mailing address | 21 Winn Dr, Rexburg, ID 83440-5277 |
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-
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