NPIMap

Organization Active NPI

Need-a-Nurse Medical Staffing, LLC

Doing business as Family Medical Clinic of Chubbuck

  • Primary Care Clinic/Center
  • Pocatello, ID
National Provider Identifier
1003231911
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEED-A-NURSE MEDICAL STAFFING, LLC
Doing business as
Family Medical Clinic of Chubbuck
Practice address
476 E Chubbuck Rd
Pocatello, ID 83202-1816
Phone
(208) 233-9898
Fax
(208) 232-8566
NPI assigned
Feb 28, 2014
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott Robert Barlow, RNNPI 1023673209
Title
Owner
Phone
(208) 251-6955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

476 E Chubbuck Rd
Pocatello, ID 83202-1816

Mailing address

476 E Chubbuck Rd
Pocatello, ID 83202-1816
Phone (208) 251-6955

Other names 1

  • Family Medical Clinic of Chubbuck Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140611002137 ID Part B Supplier - Clinic/Group Practice 0840414975 Receives reassigned benefits from 4 practitioners
Practice locations: Chubbuck, ID

National Provider Directory

National Provider Directory

Locations

476 E Chubbuck Rd
Pocatello, ID 83202
Phone (208) 233-9898

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1003231911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E CHUBBUCK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021816",
            "telephone_number": "208-251-6955",
            "fax_number": "208-232-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E CHUBBUCK RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021816",
            "telephone_number": "208-233-9898",
            "fax_number": "208-232-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEED-A-NURSE MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-251-6955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic of Chubbuck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.