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UNIFIED HEALTHCARE OF IDAHO LLC
NPI 1588041537
Clinic/Center - Health Service in Idaho Falls, ID

Active since April 29, 2015
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 529-3967(208) 522-0088 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2016, May 17, 2016 (2 updates tracked since 2016).

About Unified Healthcare Of Idaho Llc NPPES

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

UNIFIED HEALTHCARE OF IDAHO LLC (NPI 1588041537) is a healthcare organization registered as a health service in Idaho Falls, Idaho and active in the NPI registry since April 2015. The organization lists Thomas Tueller, Owner, as its authorized official.

NPPES Registry Identity

NPI1588041537
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameUNIFIED HEALTHCARE OF IDAHO LLC
Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402-2902
Mailing Address2275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · (208) 529-3967 · Fax (208) 522-0088
Phone(208) 529-3967
Fax(208) 522-0088
Organization SubpartYesParent: Tueller Counseling Inc
Authorized OfficialThomas TuellerOwner · (208) 221-0007
Enumeration DateApril 29, 2015
Last NPPES UpdateJuly 11, 20162 updates tracked since enumeration
✔ NPI 1588041537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
2275 W BROADWAY ST STE G, Idaho Falls, ID 83402
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Other Identifiers 1

Medicaid847298396ID

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.

PAULA MARIE GREEN LMSW
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MARCUS BOYD GOLDER LMSW
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
SHANDRA BLACKER LMSW
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KAITLIN ANN GOTCH LPC
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
BRENDA P STEGELMEIER LPC
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MRS. MORGAN K HUMPHRIES LPC
Counselor (Professional)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
WADE DARREN LEAVITT LMSW
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 861-2093
LISA ANNE PERUCCA LMSW
Counselor (Mental Health)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

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 Unified Healthcare Of Idaho LLC's NPI number?

The NPI number for Unified Healthcare Of Idaho LLC is 1588041537. It was assigned to this organization in the NPPES registry on April 29, 2015.

Where is Unified Healthcare Of Idaho LLC located?

Unified Healthcare Of Idaho LLC is located at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 529-3967.

What is Unified Healthcare Of Idaho LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Unified Healthcare Of Idaho LLC was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.