C/O PHYSICIANS IMMEIDATE CARE OF TWIN
NPI 1487151882
Family Medicine in Burley, ID

NPI Status: Active since April 11, 2018

Contact Information

1252 BENNETT AVE
SUITE B
BURLEY, ID
ZIP 83318
Phone: (208) 617-0656
Fax: (208) 647-0659

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 13D2137608
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 09-28-2027

About C/O PHYSICIANS IMMEIDATE CARE OF TWIN

This page provides the complete NPI Profile along with additional information for C/o Physicians Immeidate Care Of Twin, a primary care provider established in Burley, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1487151882 assigned on April 2018. The practitioner's primary taxonomy code is 207Q00000X with license number M-4391 (ID). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is C/o Physicians Immeidate Care Of Twin. The authorized official of this NPI record is Jeremy B Haymore Md (Medical Director)

NPI
1487151882
Provider Legal Name
PAGE FAMILY MEDICINE
Other Organization Name
C/O PHYSICIANS IMMEIDATE CARE OF TWIN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1252 BENNETT AVE SUITE B BURLEY, ID 83318
Location Phone
(208) 617-0656
Location Fax
(208) 647-0659
Mailing Address
260 FALLS AVE STE C TWIN FALLS, ID 83301
Mailing Phone
(208) 736-7422
Mailing Fax
(208) 647-0659
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-11-2018
Last Update Date
02-01-2019
Code Navigator

A primary care provider (PCP) like C/o Physicians Immeidate Care Of Twin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
M-4391
License State
ID
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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 B HAYMORE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(208) 312-2242

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1487151882MEDICAID (05)ID 

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
13D2137608
Facility Type
Other - URGENT CARE
Certificate Effective Date
September 29, 2025
Certificate Expiration Date
September 28, 2027
Laboratory Director
JEREMY B. HAYMORE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to C/o Physicians Immeidate Care Of Twin 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.

Reviews for C/O PHYSICIANS IMMEIDATE CARE OF TWIN

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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 1487151882, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 8 → 16 → 7 1 → 2 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 2 + 5 + 2 + 8 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1487151882.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1252 BENNETT AVE, SUITE B
BURLEY, ID 83318
Clinic/Center (Health Service)
1252 BENNETT AVE, SUITE B
BURLEY, ID 83318
Family Medicine
1252 BENNETT AVE, SUITE B
BURLEY, ID 83318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487151882, enumerated as an "organization" on April 11, 2018.

The provider is located at 1252 BENNETT AVE SUITE B BURLEY, ID 83318 and the phone number is (208) 617-0656.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to verify.