FALLS AVENUE IMMEDIATE CARE PA
NPI 1912481292
Clinic/Center - Primary Care in Twin Falls, ID

NPI Status: Active since September 21, 2018

Contact Information

260 FALLS AVE STE D
TWIN FALLS, ID
ZIP 83301
Phone: (208) 733-6700
Fax: (208) 733-0803

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 13D2149215
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-28-2026

About FALLS AVENUE IMMEDIATE CARE PA

This page provides the complete NPI Profile along with additional information for Falls Avenue Immediate Care Pa, a primary care provider established in Twin Falls, Idaho operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1912481292 assigned on September 2018. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is W Scott Rudeen Md (Owner)

NPI
1912481292
Provider Name
FALLS AVENUE IMMEDIATE CARE PA
Entity Type
Organization
Location Address
260 FALLS AVE STE D TWIN FALLS, ID 83301
Location Phone
(208) 733-6700
Location Fax
(208) 733-0803
Mailing Address
260 FALLS AVE STE D TWIN FALLS, ID 83301
Mailing Phone
(208) 733-6700
Mailing Fax
(208) 733-0803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2018
Last Update Date
02-07-2022
Code Navigator

A primary care provider (PCP) like Falls Avenue Immediate Care Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

W SCOTT RUDEEN MD

Authorized Official Title
OWNER
Authorized Official Phone
(208) 733-6700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2149215
Facility Type
Physician Office
Certificate Effective Date
May 29, 2024
Certificate Expiration Date
May 28, 2026
Laboratory Director
W SCOTT RUDEEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Falls Avenue Immediate Care Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912481292, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 8 + 8 + 2 + 2 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1912481292.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
260 FALLS AVE STE D
TWIN FALLS, ID 83301
Physical Therapist
260 FALLS AVE STE D
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912481292, enumerated as an "organization" on September 21, 2018.

The provider is located at 260 FALLS AVE STE D TWIN FALLS, ID 83301 and the phone number is (208) 733-6700.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.