P Praxis·MD
● Active Type 2 · Organization

Andersen Family Care

Clinic/Center·Meridian, ID· NPI 1124741277 · Enumerated 2022 · 3 years on NPI
Andersen Family Care is 1 of 104 clinic/center organizations in Idaho.
NPI age
3 years
Enumerated 2022-09-23
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andersen
Owner
Last NPPES update
2022-09-28
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
3 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-09Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
1494 West Ustick Rd, 110
Meridian, ID 83646
📞 2089087797
Mailing address
1494 West Ustick Rd, 110
Meridian, ID 83646
📞 2089087797

Authorized official

Dallin Andersen, PA-C
Owner
📞 2089540101

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Andersen Family Care P.L.L.C
    Type code 4 recorded 2022-09-20

Practice context

Single-site organization. Only one practice location on file.

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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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