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PHYSICIAN CENTER , A PROFESSIONAL COMPANY
NPI 1508807926
Family Medicine in Twin Falls, ID

Active since June 09, 2006
775 POLE LINE RD W, SUITES 105 & 111, TWIN FALLS, ID 83301(208) 814-8000(208) 733-9402 Get Directions Write a Review

NPPES record last updated: March 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Physician Center , A Professional Company NPPES

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

PHYSICIAN CENTER , A PROFESSIONAL COMPANY (NPI 1508807926) is a healthcare organization registered as a family medicine in Twin Falls, Idaho and active in the NPI registry since June 2006. The organization lists Mitchell J Moffitt, Physician, as its authorized official.

NPPES Registry Identity

NPI1508807926
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN CENTER , A PROFESSIONAL COMPANY
Location Address775 POLE LINE RD W, SUITES 105 & 111Twin Falls, ID 83301-5814
Mailing Address775 Pole Line Rd W, Suites 105 & 111Twin Falls, ID 83301-5814 · (208) 814-8000 · Fax (208) 733-9402
Phone(208) 814-8000
Fax(208) 733-9402
Organization SubpartNo
Authorized OfficialMitchell J MoffittPhysician · (208) 814-8000
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 9, 2013
✔ NPI 1508807926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedPediatricsTaxonomy 208000000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
775 POLE LINE RD W, Twin Falls, ID 83301
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Other Identifiers 4

Medicare ID-Type Unspecified1374354ID · Medicare Number
Medicare NSC1039210001ID
Medicaid002746900ID
OtherCD3787ID · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. MITCHELL JACKSON MOFFITT M.D.
Pediatrics
775 POLE LINE RD W, SUITE 111
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
DR. RONALD WILLIAM BLAIR D.O.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
JOHN A BAKER M.D.
Internal Medicine
775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8600
BLUE LAKES GASTROENTEROLOGY, PLLC
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
KOVIC SHANE BAILEY DO
Family Medicine
775 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
DANIEL G PREUCIL M.D.
Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
BRUCE C MCCOMAS M.D.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
PHYSICIAN CENTER A PROFESSIONAL COMPANY MID LEVEL
Family Medicine
775 POLE LINE RD W, SUITE 105 & 111
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000

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 Physician Center , A Professional Company's NPI number?

The NPI number for Physician Center , A Professional Company is 1508807926. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Physician Center , A Professional Company located?

Physician Center , A Professional Company is located at 775 Pole Line Rd W Suites 105 & 111, Twin Falls, ID 83301. The listed phone number is (208) 814-8000.

What is Physician Center , A Professional Company's specialty?

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

When was this NPI record last updated?

The NPPES record for Physician Center , A Professional Company was last updated on March 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.