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

Idaho Falls Clinic, PA

Organization Clinic/Center · NPI 1811932411

Idaho Falls Clinic, PA is a Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 S Woodruff Ave Ste #15
Idaho Falls, ID 83404-6374
Phone: (208) 522-7310
Fax: (208) 524-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1811932411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Clark — Administrator · (208) 522-7310
NPI enumeratedJune 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2001 S Woodruff Ave, Suite #15, Idaho Falls, ID 83404-6374

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