Eagle Rock Medical Center LLC
NPI 1083372890 · Physical Medicine & Rehabilitation Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eagle Rock Medical Center LLC is a Physical Medicine & Rehabilitation Physician organization in Idaho Falls, ID (NPI 1083372890).
Provider details
- NPI number
- 1083372890
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kendon Howard, Ceo(208) 972-0420
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Frequently asked questions
- What is Eagle Rock Medical Center LLC's NPI number?
- Eagle Rock Medical Center LLC's National Provider Identifier (NPI) is 1083372890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Rock Medical Center LLC?
- Eagle Rock Medical Center LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Eagle Rock Medical Center LLC located?
- Eagle Rock Medical Center LLC's practice location on file with NPPES is 919 S Utah Ave, Idaho Falls, ID 83402-3322.
- What is Eagle Rock Medical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Eagle Rock Medical Center LLC is (208) 425-6020.
- Does Eagle Rock Medical Center LLC accept Medicare?
- Eagle Rock Medical Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eagle Rock Medical Center LLC?
- The authorized official listed on Eagle Rock Medical Center LLC's NPPES record is Kendon Howard, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Rock Medical Center LLC's NPI active?
- Yes — Eagle Rock Medical Center LLC's NPI (1083372890) is active in the NPPES registry as of the last update on 2022-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.