NPIMap

Organization Active NPI

Four Peaks Clinic Urgent Care, Inc

  • Family Medicine Physician
  • Driggs, ID
National Provider Identifier
1407994528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7462 Issued in ID
Legal business name
FOUR PEAKS CLINIC URGENT CARE, INC
Practice address
141 Valley Center Dr
Driggs, ID 83422-5113
Phone
(208) 354-4757
Fax
(208) 354-4758
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott D Thomas, MDNPI 1144237975
Title
Owner
Phone
(208) 354-4757

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
Family Medicine Physician 207Q00000X M7462 ID Primary

Addresses

Primary practice location

141 Valley Center Dr
Driggs, ID 83422-5113

Mailing address

141 Valley Center Dr
Driggs, ID 83422-5113
Phone (208) 354-4757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407994528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 VALLEY CENTER DR",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225113",
            "telephone_number": "208-354-4757",
            "fax_number": "208-354-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 VALLEY CENTER DR",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225113",
            "telephone_number": "208-354-4757",
            "fax_number": "208-354-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR PEAKS CLINIC URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-354-4757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M7462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.