NPIMap

Organization Active NPI

Mountain Falls Quick Care

  • Urgent Care Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1235682121
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
363LF0000X Issued in ID
Legal business name
MOUNTAIN FALLS QUICK CARE
Practice address
1995 E 17TH St #1
Idaho Falls, ID 83404
Phone
(208) 357-9193
Fax
(208) 357-9173
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Kenneth Lowther, FNP-C
Title
Clinical Director
Phone
(208) 541-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 363LF0000X ID Primary

Addresses

Primary practice location

1995 E 17TH St #1
Idaho Falls, ID 83404

Mailing address

1995 E 17TH St #1
Idaho Falls, ID 83404
Phone (208) 357-9193

National Provider Directory

National Provider Directory

Locations

1995 E 17th St
Ste 1
Idaho Falls, ID 83404
Phone (208) 357-9193

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1235682121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST #1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-357-9193",
            "fax_number": "208-357-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E 17TH ST #1",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-357-9193",
            "fax_number": "208-357-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FALLS QUICK CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "LOWTHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-541-0920",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ID",
            "license": "363LF0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.