PHYSICIANS IMMEDIATE CARE CENTER
NPI 1114141090
Clinic/Center - Urgent Care in Twin Falls, ID

NPI Status: Active since April 12, 2007

Contact Information

243 CHENEY DR W STE 200
TWIN FALLS, ID
ZIP 83301
Phone: (208) 736-7422
Fax: (208) 736-8905

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 13D0914355
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-10-2028

About PHYSICIANS IMMEDIATE CARE CENTER

This page provides the complete NPI Profile along with additional information for Physicians Immediate Care Center, a provider established in Twin Falls, Idaho operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1114141090 assigned on April 2007. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Physicians Immediate Care Center. The authorized official of this NPI record is Jeremy Willes Pa-c (Vice President)

NPI
1114141090
Provider Legal Name
PHYSICIANS IMMEDIATE CARE OF TWIN FALLS PA
Other Organization Name
PHYSICIANS IMMEDIATE CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
243 CHENEY DR W STE 200 TWIN FALLS, ID 83301
Location Phone
(208) 736-7422
Location Fax
(208) 736-8905
Mailing Address
243 CHENEY DR W STE 200 TWIN FALLS, ID 83301
Mailing Phone
(208) 736-7422
Mailing Fax
(208) 736-8905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2007
Last Update Date
01-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEREMY WILLES PA-C

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(208) 736-7422

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0914355
Facility Type
Physician Office
Certificate Effective Date
June 11, 2026
Certificate Expiration Date
June 10, 2028
Laboratory Director
JEREMY B. HAYMORE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Physicians Immediate Care Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114141090, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 4 + 2 + 0 + 1 + 8 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1114141090.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301
Physician Assistant
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301
Physician Assistant
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301
Physician Assistant
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301
Physician Assistant
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301
Physician Assistant
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114141090, enumerated as an "organization" on April 12, 2007.

The provider is located at 243 CHENEY DR W STE 200 TWIN FALLS, ID 83301 and the phone number is (208) 736-7422.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.