● 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
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.
Practice context
Single-site organization. Only one practice location on file.
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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.