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EAST FALLS FAMILY MEDICINE, LLC
NPI 1619221405
Family Medicine in Idaho Falls, ID

Active since November 01, 2012CLIA 13D2068738 · Waiver
3200 CHANNING WAY, IDAHO FALLS, ID 83404(208) 535-4567(208) 535-4569 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2023, Oct 28, 2020 (2 updates tracked since 2020).

About East Falls Family Medicine, Llc NPPES

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

EAST FALLS FAMILY MEDICINE, LLC (NPI 1619221405) is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1619221405
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST FALLS FAMILY MEDICINE, LLC
Location Address3200 CHANNING WAYIdaho Falls, ID 83404-7546
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7600 · Fax (866) 346-1426
Phone(208) 535-4567
Fax(208) 535-4569
Organization SubpartNo
Authorized OfficialLouis JosephVp · (615) 373-7630
Enumeration DateNovember 1, 2012
Last NPPES UpdateJanuary 2, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2023
✔ NPI 1619221405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3200 CHANNING WAY, Idaho Falls, ID 83404
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2068738

East Falls Family Medicine Clinic · Idaho Falls, ID
Active · expires Nov 11, 2027
CLIA Number13D2068738
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorDavid Hill
Laboratory Phone(208) 535-4567
Laboratory LocationEast Falls Family Medicine Clinic3200 Channing Way Ste 304, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. DOUGLAS N WHATMORE M.D.
Internal Medicine
3200 CHANNING WAY, STE 205
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4300
TIFFANY C COUGHENOUR PA
Physician Assistant
3200 CHANNING WAY, STE 205
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4300
EASTERN IDAHO MEDICAL CONSULTANTS
Internal Medicine
3200 CHANNING WAY, STE. 205
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4300
MOUNTAIN WEST EAR NOSE AND THROAT, PC
Otolaryngology
3200 CHANNING WAY, SUITE A303
IDAHO FALLS, ID 83404
Bonneville County (208) 542-5414
DR. BRADY L COOK M.D.
Internal Medicine
3200 CHANNING WAY, STE 205
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4300
DR. TERRY BAKER MD
Otolaryngology
3200 CHANNING WAY, A-105
IDAHO FALLS, ID 83404
Bonneville County (208) 552-9530
TERRY BAKER, M.D.P.A.
Otolaryngology
3200 CHANNING WAY, STE. A-105
IDAHO FALLS, ID 83404
Bonneville County (208) 552-9530
MRS. PEGGY LYNN YOUNG NP-C
Nurse Practitioner (Family)
3200 CHANNING WAY, STE 205
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4300

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 East Falls Family Medicine, LLC's NPI number?

The NPI number for East Falls Family Medicine, LLC is 1619221405. It was assigned to this organization in the NPPES registry on November 1, 2012.

Where is East Falls Family Medicine, LLC located?

East Falls Family Medicine, LLC is located at 3200 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 535-4567.

What is East Falls Family Medicine, LLC's specialty?

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

Does East Falls Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2068738) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Falls Family Medicine, LLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list East Falls Family Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Falls Family Medicine, LLC was last updated on January 2, 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.