Organization Active NPI

First Care Medical of Idaho LLC

  • Medical Specialty Clinic/Center
  • Idaho Falls, ID
National Provider Identifier
1831029743
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FIRST CARE MEDICAL OF IDAHO LLC
Doing business as
Excelsia Injury Care
Practice address
2001 S Woodruff Ave Ste 7
Idaho Falls, ID 83404-6371
Phone
(208) 534-6900
Fax
(208) 534-6903
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Nate D Miller, DC
Title
President
Phone
(801) 899-2053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2001 S Woodruff Ave Ste 7
Idaho Falls, ID 83404-6371

Mailing address

2168 W Grove Pkwy Ste 200
Pleasant Grove, UT 84062-6748
Phone (801) 899-2053

Other names 1

  • Excelsia Injury Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excelsia Injury Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1831029743",
    "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": "801-899-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 7",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-534-6900",
            "fax_number": "208-534-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE MEDICAL OF IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-899-2053",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelsia Injury Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2026; 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.