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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: July 19, 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


The following 20 providers are registered at the same or a nearby location.

DANIEL G PREUCIL M.D.
Family Medicine
775 POLE LINE RD W, SUITE 105
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000
DOUGLAS L STAGG M.D.
Preventive Medicine (Occupational Medicine)
775 POLE LINE RD W, SUITE 101
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8100
DENNIS R SAWYER P.A.-C
Physician Assistant
775 POLE LINE RD W, SUITE 112
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8200
DR. RONALD WILLIAM BLAIR D.O.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
HEATHER MERTEN KOHRING FNP-C
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
DAVID JOHNSON, M.D., P. A.
Surgery (Vascular Surgery)
775 POLE LINE RD W, SUITE 213
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8475
BLUE LAKES GASTROENTEROLOGY, PLLC
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
BRUCE C MCCOMAS, M. D., P. A.
Surgery
775 POLE LINE RD W, SUITE 212
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8400
ARTHRITIS CENTER OF IDAHO,PA
Internal Medicine (Rheumatology)
775 POLE LINE RD W, SUITE 115
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8150
BLUE LAKES GASTROENTEROLOGY PLLC
Nurse Practitioner
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
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
GRETCHEN G BASEN PA-C
Physician Assistant
775 POLE LINE RD W, SUITE 115
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8150
MRS. BRENDA O'NEIL DPT
Physical Therapist
775 POLE LINE RD W, SUITE 307
TWIN FALLS, ID 83301
Twin Falls County (208) 814-2495
JOHN A BAKER M.D.
Internal Medicine
775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8600
DARYL G FICKLIN DO
Internal Medicine
775 POLE LINE RD W, SUITE 302
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8600
SETH N WHEELER MD
Internal Medicine (Gastroenterology)
775 POLE LINE RD W, SUITE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
DR. DENNIS M ENOMOTO MD
Internal Medicine (Cardiovascular Disease)
775 POLE LINE RD W, SUITE 112
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8200
DAVID A MCCLUSKY M.D.
Surgery
775 POLE LINE RD W, SUITE 214
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8425
PATRICK P DESMOND M.D.
Internal Medicine
775 POLE LINE RD W, SUITE 312
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8600
JOHN F TROTTER M.D.
Pediatrics
775 POLE LINE RD W, SUITE 111
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8000

Frequently Asked Questions

What is PHYSICIAN CENTER , A PROFESSIONAL COMPANY's NPI number?

The NPI number assigned to this healthcare provider is 1508807926, enumerated as an "organization" on June 09, 2006.

Where is the provider located?

The provider is located at 775 POLE LINE RD W SUITES 105 & 111 TWIN FALLS, ID 83301 and the phone number is (208) 814-8000.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does PHYSICIAN CENTER , A PROFESSIONAL COMPANY accept?

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.