NPI age
12 years
Enumerated 2014-01-14
● Active Type 2 · Organization
Club Inc
Club Inc is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Criddle
Lnsw
Last NPPES update
2014-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
12 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2001 S Woodruff, Suite 6
Idaho Falls, ID 83404
Mailing address
2001 S Woodruff Ave, Suite 6
Idaho Falls, ID 834046374
Authorized official
Kristee Criddle
Lnsw
📞 2082411377
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Judy Jones, MD Family Medicine NPI 1295707099
- Roger Tall, MD Urology NPI 1972604494
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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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.