Active NPI
First Care Medical of Idaho, LLC
- General Practice Physician
- Nampa, ID
National Provider Identifier
1043034044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FIRST CARE MEDICAL OF IDAHO, LLC
- Practice address
- 232 2ND St S
Nampa, ID 83651-3709 - Phone
- (208) 461-6523
- NPI assigned
- Nov 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nate D Miller, DC
- Title
- Ceo
- Phone
- (801) 899-2053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
232 2ND St S
Nampa, ID 83651-3709
Mailing address
2168 W Grove Pkwy Ste 200
Pleasant Grove, UT 84062-6748
Phone (801) 899-2053
National Provider Directory
National Provider Directory- Tax ID family
- Excelsia Injury Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Idaho Falls, ID
- NPI 1831029743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1043034044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2168 W GROVE PKWY STE 200",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840626748",
"telephone_number": "801-899-2053",
"fax_number": "801-385-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 2ND ST S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513709",
"telephone_number": "208-461-6523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CARE MEDICAL OF IDAHO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "NATE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-899-2053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.