SOUTH FORK SERVICES, LLC
NPI 1588006217
Community/Behavioral Health in Rexburg, ID

Active since July 23, 2013
310 N 2ND E STE 128, REXBURG, ID 83440(208) 356-5675 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Fork Services, Llc NPPES

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

SOUTH FORK SERVICES, LLC (NPI 1588006217) is a healthcare organization registered as a community/behavioral health in Rexburg, Idaho and active in the NPI registry since July 2013. The organization lists Wade Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1588006217
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTH FORK SERVICES, LLC
Location Address310 N 2ND E STE 128Rexburg, ID 83440-1607
Mailing Address310 N 2nd E Ste 128Rexburg, ID 83440-1607 · (208) 356-5675
Organization SubpartNo
Authorized OfficialWade GordonOwner · (208) 356-5675
Enumeration DateJuly 23, 2013
NPI 1588006217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in ID · LCSW 27205
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

310 N 2ND E STE 128, Rexburg, ID 83440

Other Providers at the Same Location NPPES

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

Social Worker
310 N 2ND E STE 128
REXBURG, ID 83440

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 South Fork Services, LLC's NPI number?

The NPI number for South Fork Services, LLC is 1588006217. It was assigned to this organization in the NPPES registry on July 23, 2013.

Where is South Fork Services, LLC located?

South Fork Services, LLC is located at 310 N 2nd E Ste 128, Rexburg, ID 83440. The listed phone number is (208) 356-5675.

What is South Fork Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for South Fork Services, LLC was last updated on July 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.