1. Home
  2. Directory
  3. Idaho
  4. Rexburg
  5. Clinic Center
  6. NPI Profile

FALL RIVER MEDICAL, PLLC
NPI 1457698987
Clinic/Center - Primary Care in Rexburg, ID

Active since January 03, 2013
21 WINN DR, REXBURG, ID 83440(208) 881-5222(877) 441-4715 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2019, Jul 18, 2018 (2 updates tracked since 2018).

About Fall River Medical, Pllc NPPES

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

FALL RIVER MEDICAL, PLLC (NPI 1457698987) is a healthcare organization registered as a primary care in Rexburg, Idaho and active in the NPI registry since January 2013. The organization lists Austin C Gillette, Owner, as its authorized official.

NPPES Registry Identity

NPI1457698987
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFALL RIVER MEDICAL, PLLC
Location Address21 WINN DRRexburg, ID 83440
Mailing Address21 Winn DrRexburg, ID 83440-5277 · (208) 220-1057 · Fax (188) 851-2685
Phone(208) 881-5222
Fax(877) 441-4715
Organization SubpartNo
Authorized OfficialAustin C GilletteOwner · (208) 881-5222
Enumeration DateJanuary 3, 2013
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
✔ NPI 1457698987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in ID · O-0518
Also ListedClinic/CenterTaxonomy 261Q00000X · License O-0518 (ID)
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X · License O-0518 (ID)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License O-0518 (ID)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
21 WINN DR, Rexburg, ID 83440
Open in Google Maps ↗

Other Identifiers 2

Other1972709103ID · Npi
Other1083810287ID · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 6

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

AUSTIN C GILLETTE
Family Medicine
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
KELLY L DUSTIN DO
Family Medicine
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
DR. SHELBY ELIZABETH NORDMANN MD
Family Medicine
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
JEREMIAH D BUEHNER PA
Physician Assistant
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
BRENNEN LARSEN PA-C
Physician Assistant
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222
JOSHUA L GILGEN PA-C
Physician Assistant
21 WINN DR
REXBURG, ID 83440
Madison County (208) 881-5222

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 Fall River Medical, PLLC's NPI number?

The NPI number for Fall River Medical, PLLC is 1457698987. It was assigned to this organization in the NPPES registry on January 3, 2013.

Where is Fall River Medical, PLLC located?

Fall River Medical, PLLC is located at 21 Winn Dr, Rexburg, ID 83440. The listed phone number is (208) 881-5222.

What is Fall River Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Fall River Medical, PLLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Fall River Medical, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fall River Medical, PLLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.