Ridgeline Medical LLC
NPI 1386110963 · Family Medicine Physician · Idaho Falls, ID
Ridgeline Medical LLC is a Family Medicine Physician organization in Idaho Falls, ID (NPI 1386110963).
Provider details
- NPI number
- 1386110963
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martin Mangan, Owner(208) 715-9990
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Other names (DBA / former)
- Doing business as
- Ridgeline Medical LLC
Registry dates
- Enumerated
- 2018-10-22
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Ridgeline Medical LLC's NPI number?
- Ridgeline Medical LLC's National Provider Identifier (NPI) is 1386110963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ridgeline Medical LLC?
- Ridgeline Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ridgeline Medical LLC located?
- Ridgeline Medical LLC's practice location on file with NPPES is 2470 Jafer Ct, Idaho Falls, ID 83404-5587.
- What is Ridgeline Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Ridgeline Medical LLC is (208) 715-9990.
- Who is the authorized official for Ridgeline Medical LLC?
- The authorized official listed on Ridgeline Medical LLC's NPPES record is Martin Mangan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ridgeline Medical LLC's NPI active?
- Yes — Ridgeline Medical LLC's NPI (1386110963) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.