OrganizationActive
Prestige Ketamine PC
NPI 1588353999 · Infusion Therapy Clinic/Center · Rigby, ID
Prestige Ketamine PC is a Infusion Therapy Clinic/Center organization in Rigby, ID (NPI 1588353999).
Provider details
- NPI number
- 1588353999
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Levi Hansen, Ceo(208) 705-9800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3749 E 343 N
Rigby, ID 83442-5326
Phone: (208) 705-9800
Street-level locationGet directions
Mailing address
3749 E 343 N
Rigby, ID 83442-5326
Registry dates
- Enumerated
- 2023-05-02
- Last updated
- 2023-05-02
- Certified
- 2023-03-15
Frequently asked questions
- What is Prestige Ketamine PC's NPI number?
- Prestige Ketamine PC's National Provider Identifier (NPI) is 1588353999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Ketamine PC?
- Prestige Ketamine PC is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prestige Ketamine PC located?
- Prestige Ketamine PC's practice location on file with NPPES is 3749 E 343 N, Rigby, ID 83442-5326.
- What is Prestige Ketamine PC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Ketamine PC is (208) 705-9800.
- Who is the authorized official for Prestige Ketamine PC?
- The authorized official listed on Prestige Ketamine PC's NPPES record is Levi Hansen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Ketamine PC's NPI active?
- Yes — Prestige Ketamine PC's NPI (1588353999) is active in the NPPES registry as of the last update on 2023-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.