MOUNTAIN FALLS QUICK CARE
NPI 1235682121
Clinic/Center - Urgent Care in Idaho Falls, ID

NPI Status: Active since July 27, 2016

Contact Information

1995 E 17TH ST #1
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 357-9193
Fax: (208) 357-9173

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 13D1004238
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 12-10-2026

About MOUNTAIN FALLS QUICK CARE

This page provides the complete NPI Profile along with additional information for Mountain Falls Quick Care, a provider established in Idaho Falls, Idaho operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1235682121 assigned on July 2016. The practitioner's primary taxonomy code is 261QU0200X with license number 363LF0000X (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Kenneth Lowther Fnp-c (Clinical Director)

NPI
1235682121
Provider Name
MOUNTAIN FALLS QUICK CARE
Entity Type
Organization
Location Address
1995 E 17TH ST #1 IDAHO FALLS, ID 83404
Location Phone
(208) 357-9193
Location Fax
(208) 357-9173
Mailing Address
1995 E 17TH ST #1 IDAHO FALLS, ID 83404
Mailing Phone
(208) 357-9193
Mailing Fax
(208) 357-9173
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2016
Last Update Date
07-27-2016
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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
License No.
363LF0000X
License State
ID

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

KENNETH LOWTHER FNP-C

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(208) 541-0920

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
13D1004238
Facility Type
Hospital
Certificate Effective Date
December 11, 2024
Certificate Expiration Date
December 10, 2026
Laboratory Director
MATT TANNENBAUM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mountain Falls Quick Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1235682121, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 3 → 6 6 → 12 → 3 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 2 + 8 + 4 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1235682121.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235682121, enumerated as an "organization" on July 27, 2016.

The provider is located at 1995 E 17TH ST #1 IDAHO FALLS, ID 83404 and the phone number is (208) 357-9193.

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