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

Brent Holloway

Individual provider Case Manager/Care Coordinator · NPI 1265051171

Brent Holloway is a Case Manager/Care Coordinator in Idaho Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1301 E 17th St
Idaho Falls, ID 83404-6273
Phone: (208) 538-3122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1265051171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020
Mailing address1995 E 17th St, Idaho Falls, ID 83404-6493

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