OrganizationActive
Club, Inc.
NPI 1215097480 · Voluntary or Charitable Agency · Idaho Falls, ID
Club, Inc. is a Voluntary or Charitable Agency organization in Idaho Falls, ID (NPI 1215097480).
Provider details
- NPI number
- 1215097480
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mardee Harper, Executive Director(208) 529-4673
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2001 S Woodruff Ave
Suite 6
Idaho Falls, ID 83404-6374
Phone: (208) 529-4673
Fax: (208) 529-4676
Street-level locationGet directions
Mailing address
2001 S Woodruff Ave
Idaho Falls, ID 83404-6374
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Club, Inc.'s NPI number?
- Club, Inc.'s National Provider Identifier (NPI) is 1215097480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Club, Inc.?
- Club, Inc. is classified in the NPPES registry as Voluntary or Charitable Agency (Agencies).
- Where is Club, Inc. located?
- Club, Inc.'s practice location on file with NPPES is 2001 S Woodruff Ave, Idaho Falls, ID 83404-6374.
- What is Club, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Club, Inc. is (208) 529-4673.
- Who is the authorized official for Club, Inc.?
- The authorized official listed on Club, Inc.'s NPPES record is Mardee Harper, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Club, Inc.'s NPI active?
- Yes — Club, Inc.'s NPI (1215097480) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.