● Active Type 2 · Organization
Throne Of Grace, Llc.
Clinic/Center·Idaho Falls, ID· NPI 1104173467
·
Enumerated 2012 · 13 years on NPI
Throne Of Grace, Llc. is 1 of 34 clinic/center organizations in Idaho.
NPI age
13 years
Enumerated 2012-08-06
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pinegar
Executive Director
Last NPPES update
2012-12-26
Source: monthly bulk 2026-05
How this organization compares
Across 34 active clinic/center providers in Idaho.
NPI age
13 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1165 S Utah Ave
Idaho Falls, ID 834023321
📞 2085226155fax 2085226156
Mailing address
1165 S Utah Ave
Idaho Falls, ID 834023321
📞 2085226155fax 2085226156
Authorized official
David W Pinegar
Executive Director
📞 2085226155
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QR0405X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.