1. Home
  2. Directory
  3. Idaho
  4. Rexburg
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOUNTAIN HEALTH AND WELLNESS
NPI 1649847823
Family Medicine in Rexburg, ID

Active since June 07, 2021CLIA 13D2348556 · Certificate of Compliance
16 S 1ST E, REXBURG, ID 83440(208) 520-2809(877) 316-8001 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Aug 11, 2026, Apr 23, 2026 and 2 more (5 updates tracked since 2021).

About Mountain Health And Wellness NPPES

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

MOUNTAIN HEALTH AND WELLNESS (NPI 1649847823) is a healthcare organization registered as a family medicine in Rexburg, Idaho and active in the NPI registry since June 2021. The organization holds a CLIA Certificate of Compliance certificate valid through August 6, 2028 and lists Martin Angus Mangan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649847823
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAIN HEALTH AND WELLNESS
Location Address16 S 1ST ERexburg, ID 83440-1902
Mailing Address16 S 1st ERexburg, ID 83440-1902 · (208) 520-2809 · Fax (877) 316-8001
Phone(208) 520-2809
Fax(877) 316-8001
Organization SubpartNo
Authorized OfficialMartin Angus ManganMedical Director · (208) 220-1057
Enumeration DateJune 7, 2021
Last NPPES UpdateSeptember 24, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1649847823 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 ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
16 S 1ST E, Rexburg, ID 83440
Open in Google Maps ↗

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

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 Compliance 13D2348556

Mountain Health And Wellness · Rexburg, ID
Active · expires Aug 6, 2028
CLIA Number13D2348556
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorMartin A. Mangan
Laboratory Phone(208) 520-2809
Laboratory LocationMountain Health And Wellness16 S 1st E, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

DR. CRAIG BENJAMIN ASHBY DC
Chiropractor
16 S 1ST E
REXBURG, ID 83440
Madison County (208) 359-6067
ASHBY GROUP LLC
Chiropractor
16 S 1ST E
REXBURG, ID 83440
Madison County (208) 359-6067

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 Mountain Health And Wellness's NPI number?

The NPI number for Mountain Health And Wellness is 1649847823. It was assigned to this organization in the NPPES registry on June 7, 2021.

Where is Mountain Health And Wellness located?

Mountain Health And Wellness is located at 16 S 1st E, Rexburg, ID 83440. The listed phone number is (208) 520-2809.

What is Mountain Health And Wellness's specialty?

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

Does Mountain Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D2348556) is associated with this NPI, valid through August 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain Health And Wellness was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.