P Praxis·MD
● Active Type 2 · Organization

Idaho Falls Asc

Clinic/Center·Idaho Falls, ID· NPI 1174005235 · Enumerated 2018 · 7 years on NPI
Idaho Falls Asc is 1 of 99 clinic/center organizations in Idaho.
NPI age
7 years
Enumerated 2018-09-05
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hillyard
Cco
Last NPPES update
2023-01-23
Source: monthly bulk 2026-05

How this organization compares

Across 99 active clinic/center providers in Idaho.

NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
3302 Valencia Drive, Suite 101a
Idaho Falls, ID 83404
📞 2085574525fax 2085424280
Mailing address
3302 Valencia Dr Ste 101a
Idaho Falls, ID 834047068
📞 2085574525fax 2085424280

Authorized official

Ned W Hillyard
Cco
📞 2085572711

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

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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