NPI age
13 years
Enumerated 2013-01-03
● Active Type 2 · Organization
Fall River Medical, Pllc
Fall River Medical, Pllc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gillette
Owner
Last NPPES update
2019-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
13 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 10% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
21 Winn Dr
Rexburg, ID 83440
Mailing address
21 Winn Dr
Rexburg, ID 834405277
Authorized official
Austin C Gillette, MD
Owner
📞 2088815222
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Jeremiah Buehner, PA Physician Assistant NPI 1528623303
- Kelly Dustin, DO Family Medicine NPI 1114957362
- Joshua Gilgen, PA-C Physician Assistant NPI 1861818734
- Austin Gillette Family Medicine NPI 1083810287
- Brennen Larsen, PA-C Physician Assistant NPI 1740659010
- Shelby Nordmann, MD Family Medicine NPI 1457939563
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
-
Clinic/CenterDefinition to come...
-
Clinic/CenterDefinition to come...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1083810287 | NPI |
| 01 (ID) | 1972709103 | NPI |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 104 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.