P Praxis·MD
● 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
Subspecialties
0

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.

  • Renaissance Ranch
    Type code 3 recorded 2012-12-26

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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