FIRST CARE CONCUSSION DIAGNOSTIC CLINICS OF IDAHO, LLC
NPI 1609563618
Clinic/Center - Health Service in Middleton, ID

Active since April 19, 2023
24641 BLAZE AVE, MIDDLETON, ID 83644(702) 403-1103(385) 365-5054 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About First Care Concussion Diagnostic Clinics Of Idaho, Llc NPPES

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

FIRST CARE CONCUSSION DIAGNOSTIC CLINICS OF IDAHO, LLC (NPI 1609563618) is a healthcare organization registered as a health service in Middleton, Idaho and active in the NPI registry since April 2023. The organization lists Nathan Dee Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609563618
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFIRST CARE CONCUSSION DIAGNOSTIC CLINICS OF IDAHO, LLC
Location Address24641 BLAZE AVEMiddleton, ID 83644-6156
Mailing Address1988 W 930 N Ste DPleasant Grove, UT 84062-4132 · (702) 403-1103 · Fax (385) 365-5054
Fax(385) 365-5054
Organization SubpartNo
Authorized OfficialNathan Dee MillerCeo · (801) 899-2053
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
NPI 1609563618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
24641 BLAZE AVE, Middleton, ID 83644

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 First Care Concussion Diagnostic Clinics Of Idaho, LLC's NPI number?

The NPI number for First Care Concussion Diagnostic Clinics Of Idaho, LLC is 1609563618. It was assigned to this organization in the NPPES registry on April 19, 2023.

Where is First Care Concussion Diagnostic Clinics Of Idaho, LLC located?

First Care Concussion Diagnostic Clinics Of Idaho, LLC is located at 24641 Blaze Ave, Middleton, ID 83644. The listed phone number is (702) 403-1103.

What is First Care Concussion Diagnostic Clinics 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 First Care Concussion Diagnostic Clinics Of Idaho, LLC was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.