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DIGESTIVE HEALTH CLINIC LLC
NPI 1891310561
Internal Medicine - Gastroenterology in Nampa, ID

Active since June 09, 2020CLIA 13D0521878 · Certificate of Compliance
5080 E COMMERCE ST, NAMPA, ID 83687(986) 867-1600(986) 867-1601 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jun 19, 2020, Jun 9, 2020 (2 updates tracked since 2020).

About Digestive Health Clinic Llc NPPES

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

DIGESTIVE HEALTH CLINIC LLC (NPI 1891310561), doing business as Nampa Digestive Health Clinic, is a healthcare organization registered as a gastroenterology in Nampa, Idaho and active in the NPI registry since June 2020. The organization holds a CLIA Certificate of Compliance certificate valid through January 3, 2027 and lists Mark A Mallory, Manager, as its authorized official.

NPPES Registry Identity

NPI1891310561
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE HEALTH CLINIC LLC
Location Address5080 E COMMERCE STNampa, ID 83687-5513
Mailing Address6259 W Emerald StBoise, ID 83704-8731 · (208) 489-1900 · Fax (208) 489-1929
Phone(986) 867-1600
Fax(986) 867-1601
Organization SubpartYes
Authorized OfficialMark A MalloryManager · (208) 489-1900
Enumeration DateJune 9, 2020
Last NPPES UpdateJune 19, 20202 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1891310561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5080 E COMMERCE ST, Nampa, ID 83687
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Other Names 1

Doing Business AsNampa Digestive Health Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 13D0521878

Digestive Health Clinic LLC · Boise, ID
Active · expires Jan 3, 2027
CLIA Number13D0521878
Laboratory TypeIndependent
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorSpencer R. Paulson
Laboratory Phone(208) 489-1898
Laboratory LocationDigestive Health Clinic LLC6259 W Emerald St, Boise, ID 83704
CLIA data matches this NPI record on: Address Name
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 4

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

IDAHO ENDOSCOPY CENTER LLC
Clinic/Center (Ambulatory Surgical)
5080 E COMMERCE ST
NAMPA, ID 83687
Canyon County (986) 867-1600
TROY LINNEMEYER CARR
Nurse Practitioner (Family)
5080 E COMMERCE ST
NAMPA, ID 83687
Canyon County (208) 489-1900
MS. RILEY PAIGE ANDERSON PA-C
Physician Assistant
5080 E COMMERCE ST
NAMPA, ID 83687
Canyon County (208) 489-1900
MICHAEL LOGAN STANDLEY
Registered Nurse (Gastroenterology)
5080 E COMMERCE ST
NAMPA, ID 83687
Canyon County (208) 489-1900

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 Digestive Health Clinic LLC's NPI number?

The NPI number for Digestive Health Clinic LLC is 1891310561. It was assigned to this organization in the NPPES registry on June 9, 2020. The provider is doing business as Nampa Digestive Health Clinic.

Where is Digestive Health Clinic LLC located?

Digestive Health Clinic LLC is located at 5080 E Commerce St, Nampa, ID 83687. The listed phone number is (986) 867-1600.

What is Digestive Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Digestive Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0521878) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Digestive Health Clinic LLC was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.