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IDAHO HEART INSTITUTE PC
NPI 1477656718
Specialist in Idaho Falls, ID

Active since September 05, 2006CLIA 13D0967862 · Waiver
2985 CORTEZ AVE, IDAHO FALLS, ID 83404(208) 523-3373(208) 523-8746 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Heart Institute Pc NPPES

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

IDAHO HEART INSTITUTE PC (NPI 1477656718) is a healthcare organization registered as a specialist in Idaho Falls, Idaho and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists John Dennis Chambers, President, as its authorized official.

NPPES Registry Identity

NPI1477656718
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIDAHO HEART INSTITUTE PC
Location Address2985 CORTEZ AVEIdaho Falls, ID 83404-7554
Mailing Address2985 Cortez AveIdaho Fallls, ID 83404 · (208) 523-3373 · Fax (208) 523-8746
Phone(208) 523-3373
Fax(208) 523-8746
Organization SubpartNo
Authorized OfficialJohn Dennis ChambersPresident · (208) 523-3373
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 23, 2011
✔ NPI 1477656718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M7163
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2985 CORTEZ AVE, Idaho Falls, ID 83404
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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 13D0967862

Idaho Heart Institute · Idaho Falls, ID
Active · expires Apr 1, 2028
CLIA Number13D0967862
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorSusan Blake Wachter
Laboratory Phone(208) 523-3373
Laboratory LocationIdaho Heart Institute2985 Cortez Ave, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

DAVID LANDEN DAY
Physician Assistant (Medical)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3373
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Clinical Cardiac Electrophysiology)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
IDAHO HEART PHYSICIAN GROUP PLLC
Internal Medicine (Cardiovascular Disease)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3373
STEPHANIE LEONARDSON NP-C
Nurse Practitioner
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3373
PAUL A GERLACH MD
Internal Medicine (Cardiovascular Disease)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3373
JUSTIN S. NIELSEN PAC
Physician Assistant
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3373
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Urology (Pediatric Urology)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (801) 662-5555
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Pediatrics (Pediatric Cardiology)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (801) 587-6336

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 Idaho Heart Institute PC's NPI number?

The NPI number for Idaho Heart Institute PC is 1477656718. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Idaho Heart Institute PC located?

Idaho Heart Institute PC is located at 2985 Cortez Ave, Idaho Falls, ID 83404. The listed phone number is (208) 523-3373.

What is Idaho Heart Institute PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Idaho Heart Institute PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0967862) is associated with this NPI, valid through April 1, 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 Idaho Heart Institute PC was last updated on August 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.