NPI age
3 years
Enumerated 2023-01-10
● Active Type 2 · Organization
Jordan Ridge Family Medicine Llc
Jordan Ridge Family Medicine Llc is 1 of 10 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Castillo
Manager
Last NPPES update
2023-01-10
Source: monthly bulk 2026-05
How this organization compares
Across 10 active clinic/center providers in Idaho.
NPI age
3 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
322 E Front St
Boise, ID 837027374
Mailing address
Po Box 35380
Las Vegas, NV 891335380
Authorized official
Emily Castillo, MANAGER
Manager
📞 7024802550
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mobile Unit-Idaho
Practice context
Single-site organization. Only one practice location on file.
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- 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.