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

Fremont Family Medicine PC

Organization Primary Care Clinic/Center · NPI 1255704177

Fremont Family Medicine PC is a Primary Care Clinic/Center in Saint Anthony, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

30 W Main St
Saint Anthony, ID 83445-2113
Phone: (208) 680-2716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence M-11978 (ID)

Record details

NPI number1255704177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Ellsworth — Doctor/Owner · (208) 680-2716
NPI enumeratedNovember 2, 2015
Last updated in NPPESNovember 2, 2015
Mailing address30 W Main St, Saint Anthony, ID 83445-2113