Active NPI
First Care Medical of Idaho LLC
- Medical Specialty Clinic/Center
- Idaho Falls, ID
National Provider Identifier
1831029743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Excelsia Injury Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Nampa, ID
- NPI 1043034044
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.