TREASURE VALLEY FAMILY MEDICINE, PLLC - NPI 1841603768

Q: What is Treasure Valley Family Medicine, PLLC's specialty?

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

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About Treasure Valley Family Medicine, Pllc NPPES

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

TREASURE VALLEY FAMILY MEDICINE, PLLC (NPI 1841603768) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since June 2014. The organization holds a CLIA Microscopy certificate valid through September 29, 2026 and lists Brian Keith Crownover, Owner/president/physician, as its authorized official.

NPPES Registry Identity

NPI1841603768

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTREASURE VALLEY FAMILY MEDICINE, PLLC

Location Address2428 N STOKESBERRY PLMeridian, ID 83646-5035

Mailing Address2428 N Stokesberry PlMeridian, ID 83646-5035 · (208) 895-0050 · Fax (208) 887-0033

Phone(208) 895-0050

Fax(855) 543-3086

Organization SubpartNo

Authorized OfficialBrian Keith CrownoverOwner/president/physician · (208) 895-0050

Enumeration DateJune 9, 2014

Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1841603768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License M11819 (ID)

2428 N STOKESBERRY PL, Meridian, ID 83646

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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 for Provider-Performed Microscopy Procedures (PPMP) 13D2084780

Treasure Valley Family Medicine · Meridian, ID

Active · expires Sep 29, 2026

CLIA Number13D2084780

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorBrian K. Crownover

Laboratory Phone(208) 895-0050

Laboratory LocationTreasure Valley Family Medicine2428 N Stokesberry Pl, Meridian, ID 83646

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

MISS JUDITH LYNN CARROLL

Social Worker (Clinical)