FALLS CENTRE FOR FUNCTIONAL MEDICINE, PLLC.
NPI 1962916304
Family Medicine in Twin Falls, ID

Active since November 21, 2017CLIA 13D0975616 · Microscopy
236 MARTIN ST, TWIN FALLS, ID 83301(208) 733-4444(208) 733-4456 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2018, Nov 21, 2017 (2 updates tracked since 2017).

About Falls Centre For Functional Medicine, Pllc. NPPES

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

FALLS CENTRE FOR FUNCTIONAL MEDICINE, PLLC. (NPI 1962916304) is a healthcare organization registered as a family medicine in Twin Falls, Idaho and active in the NPI registry since November 2017. The organization holds a CLIA Microscopy certificate valid through July 11, 2028 and lists Geoffrey Neil Hicks, Provider, as its authorized official.

NPPES Registry Identity

NPI1962916304
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFALLS CENTRE FOR FUNCTIONAL MEDICINE, PLLC.
Location Address236 MARTIN STTwin Falls, ID 83301-4542
Mailing Address236 Martin StTwin Falls, ID 83301-4542 · (208) 733-4444 · Fax (208) 733-4456
Fax(208) 733-4456
Organization SubpartNo
Authorized OfficialGeoffrey Neil HicksProvider · (208) 733-4444
Enumeration DateNovember 21, 2017
Last NPPES UpdateFebruary 14, 20182 updates tracked since enumeration
✔ NPI 1962916304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · O-180
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 ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License O-180 (ID)
236 MARTIN ST, Twin Falls, ID 83301

Other Identifiers 2

Medicaid807183500ID
Medicaid1730283250ID

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Falls Centre For Functional Medicine, Pllc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Falls Centre For Functional Medicine, PLLC., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1467966671
236 MARTIN ST
Twin Falls, ID 83301
(208) 733-4444
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730283250
236 MARTIN ST
Twin Falls, ID 83301
(208) 733-4444
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 13D0975616

Falls Centre For Functional Medicine PLLC · Twin Falls, ID
Active · expires Jul 11, 2028
CLIA Number13D0975616
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorLaurence V. Hicks
Laboratory Phone(208) 733-4444
Laboratory LocationFalls Centre For Functional Medicine PLLC236 Martin St, Twin Falls, ID 83301
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.

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 Falls Centre For Functional Medicine, PLLC.'s NPI number?

The NPI number for Falls Centre For Functional Medicine, PLLC. is 1962916304. It was assigned to this organization in the NPPES registry on November 21, 2017.

Where is Falls Centre For Functional Medicine, PLLC. located?

Falls Centre For Functional Medicine, PLLC. is located at 236 Martin St, Twin Falls, ID 83301. The listed phone number is (208) 733-4444.

What is Falls Centre For Functional Medicine, PLLC.'s specialty?

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

Is Falls Centre For Functional Medicine, PLLC. enrolled in Medicare?

Yes. Falls Centre For Functional Medicine, PLLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Falls Centre For Functional Medicine, PLLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Falls Centre For Functional Medicine, PLLC., in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Falls Centre For Functional Medicine, PLLC. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0975616) is associated with this NPI, valid through July 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Falls Centre For Functional Medicine, PLLC. accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Falls Centre For Functional Medicine, PLLC. 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 Falls Centre For Functional Medicine, PLLC. was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.