NPIMap

Organization Active NPI

Byu Idaho Student Health Center

  • Clinic/Center
  • Rexburg, ID
National Provider Identifier
1538347034
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BYU IDAHO STUDENT HEALTH CENTER
Practice address
100 SHC
Rexburg, ID 83460-2010
Phone
(208) 496-1300
Fax
(208) 496-1306
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Shawn B Orr, MBA
Title
Director of Healthcare Center
Phone
(208) 496-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

100 SHC
Rexburg, ID 83460-2010

Mailing address

100 SHC
Rexburg, ID 83460-2010
Phone (208) 496-1300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0056537Byu - Idaho Student Health Center100 SHC, Rexburg, ID 83460ComplianceApr 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Byu Id Student HLTH CNTR Pchy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Shc
Rexburg, ID 83460
Phone (208) 496-1300

Shc 100
Rexburg, ID 83460
Phone (208) 496-1300

Practitioners & affiliated clinicians

Practitioners 4

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1538347034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHC",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834602010",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHC",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834602010",
            "telephone_number": "208-496-1300",
            "fax_number": "208-496-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYU IDAHO STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTHCARE CENTER",
        "authorized_official_telephone_number": "208-496-3434",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.