Rexburg Family Medical Center, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REXBURG FAMILY MEDICAL CENTER, PLLC

Doing business as

Family Medical Center

Practice address

1 Professional PLZ
Rexburg, ID 83440-2024

Phone

(208) 356-9231

Fax

(208) 356-9141

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael M Packer, M.D.

Title

Owner

Phone

(208) 356-9231

Specialties & licenses 1

Addresses

Other names 1

• Family Medical Center Doing business as

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1285700377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL PLZ",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402024",
            "telephone_number": "208-356-9231",
            "fax_number": "208-356-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL PLZ",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402024",
            "telephone_number": "208-356-9231",
            "fax_number": "208-356-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REXBURG FAMILY MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-9231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hans Thurgood Redd, MD
• Megan Reed
• Sondra Reeder
• Rehab & Industrial Services, LLP (Rehab Services of Idaho - Rexburg)
• Rexburg Chiropractic Center
• Rexburg Medical Center
• Rexburg Surgery Center LLC (North Fork Surgery Center)
• Rexburg Vision Center
• Chelse Reynolds
• Heather Linn Rich, M.A. CCC-SLP

• Primary Care Clinic/Center in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.