OrganizationActive
South Fork Services, LLC
NPI 1588006217 · Community/Behavioral Health Agency · Rexburg, ID
South Fork Services, LLC is a Community/Behavioral Health Agency organization in Rexburg, ID (NPI 1588006217).
Provider details
- NPI number
- 1588006217
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wade Gordon, Owner(208) 356-5675
- License
- LCSW 27205 (ID)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
310 N 2nd E Ste 128
Rexburg, ID 83440-1607
Phone: (208) 356-5675
Street-level locationGet directions
Mailing address
310 N 2nd E Ste 128
Rexburg, ID 83440-1607
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2013-07-23
Frequently asked questions
- What is South Fork Services, LLC's NPI number?
- South Fork Services, LLC's National Provider Identifier (NPI) is 1588006217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Fork Services, LLC?
- South Fork Services, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is South Fork Services, LLC located?
- South Fork Services, LLC's practice location on file with NPPES is 310 N 2nd E Ste 128, Rexburg, ID 83440-1607.
- What is South Fork Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Fork Services, LLC is (208) 356-5675.
- Who is the authorized official for South Fork Services, LLC?
- The authorized official listed on South Fork Services, LLC's NPPES record is Wade Gordon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Fork Services, LLC's NPI active?
- Yes — South Fork Services, LLC's NPI (1588006217) is active in the NPPES registry as of the last update on 2013-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.