CLIFFORD FAMILY MEDICINE
NPI 1396276945
Family Medicine in Chubbuck, ID

Active since March 24, 2017CLIA 13D2134030 · Waiver
4750 YELLOWSTONE AVE, CHUBBUCK, ID 83202(208) 251-0316 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clifford Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD FAMILY MEDICINE (NPI 1396276945) is a healthcare organization registered as a family medicine in Chubbuck, Idaho and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Kyle Layton Clifford, Owner, as its authorized official.

NPPES Registry Identity

NPI1396276945
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLIFFORD FAMILY MEDICINE
Location Address4750 YELLOWSTONE AVEChubbuck, ID 83202-2336
Mailing Address1456 AramisPocatello, ID 83204-5046 · (208) 232-0698
Organization SubpartNo
Authorized OfficialKyle Layton CliffordOwner · (208) 241-5093
Enumeration DateMarch 24, 2017
NPI 1396276945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M-9775
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4750 YELLOWSTONE AVE, Chubbuck, ID 83202

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2134030

Clifford Family Medicine · Chubbuck, ID
Active · expires May 13, 2028
CLIA Number13D2134030
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorKyle Clifford
Laboratory Phone(208) 251-0316
Laboratory LocationClifford Family Medicine4742 Yellowstone Ave, Chubbuck, ID 83202
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Clinic Pharmacy)
4750 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Nurse Practitioner (Family)
4750 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Family Medicine's NPI number?

The NPI number for Clifford Family Medicine is 1396276945. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Clifford Family Medicine located?

Clifford Family Medicine is located at 4750 Yellowstone Ave, Chubbuck, ID 83202. The listed phone number is (208) 251-0316.

What is Clifford Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clifford Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2134030) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clifford Family Medicine was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.