OrganizationActive
Fall River Medical, PLLC
NPI 1457698987 · Primary Care Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1457698987
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Austin Gillette, Owner(208) 881-5222
- License
- O-0518 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Suppliers
Practice location
21 Winn Dr
Rexburg, ID 83440
Phone: (208) 881-5222
Fax: (877) 441-4715
Approximate (ZIP-level) locationGet directions
Mailing address
21 Winn Dr
Rexburg, ID 83440-5277
Registry dates
- Enumerated
- 2013-01-03
- Last updated
- 2019-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.