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

Machen Family Medicine, PC

Organization Family Medicine Physician · NPI 1013204445

Machen Family Medicine, PC is a Family Medicine Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1995 E 17th St Ste A
Idaho Falls, ID 83404-6493
Phone: (208) 522-7666
Fax: (208) 524-2821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0611 (ID)

Record details

NPI number1013204445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMachen Family Medicine, PC
Authorized official Shane Machen — Owner · (208) 522-7666
Other names Shane G Machen, Do
NPI enumeratedJuly 6, 2011
Last updated in NPPESApril 26, 2012
Mailing address1995 E 17th St Ste A, Idaho Falls, ID 83404-6493

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