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

South Fork Services, LLC

Organization Community/Behavioral Health Agency · NPI 1588006217

South Fork Services, LLC is a Community/Behavioral Health Agency in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
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

310 N 2nd E Ste 128
Rexburg, ID 83440-1607
Phone: (208) 356-5675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LCSW 27205 (ID)

Record details

NPI number1588006217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wade Gordon — Owner · (208) 356-5675
NPI enumeratedJuly 23, 2013
Last updated in NPPESJuly 23, 2013
Mailing address310 N 2nd E Ste 128, Rexburg, ID 83440-1607

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