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NPI 1740812320 · Medical Specialty Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1740812320
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Schultz, Owner(208) 359-2264
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
60 S 2nd W
Rexburg, ID 83440-1819
Phone: (208) 359-2264
Street-level locationGet directions
Mailing address
60 S 2nd W
Rexburg, ID 83440-1819
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.