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SOUTHEAST IDAHO FAMILY PRACTICE
NPI 1982759007
Family Medicine in Idaho Falls, ID

Active since January 25, 2007CLIA 13D0869535 · Microscopy
2775 CHANNING WAY, IDAHO FALLS, ID 83404(208) 524-0133 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southeast Idaho Family Practice NPPES

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

SOUTHEAST IDAHO FAMILY PRACTICE (NPI 1982759007) is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through March 31, 2028 and lists Connie M Bates, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1982759007
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHEAST IDAHO FAMILY PRACTICE
Location Address2775 CHANNING WAYIdaho Falls, ID 83404-7510
Mailing Address2775 Channing WayIdaho Falls, ID 83404-7510 · (208) 524-0133
Phone(208) 524-0133
Organization SubpartNo
Authorized OfficialConnie M BatesOffice Manager · (208) 524-6694
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982759007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2775 CHANNING WAY, Idaho Falls, ID 83404
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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) 13D0869535

Southeast Idaho Family Practice · Idaho Falls, ID
Active · expires Mar 31, 2028
CLIA Number13D0869535
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorDaniel W. Mclaughlin
Laboratory Phone(208) 524-0133
Laboratory LocationSoutheast Idaho Family Practice2775 Channing Way, Idaho Falls, ID 83404
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 11

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

DR. KAY LINFORD CHRISTENSEN M.D.
Family Medicine
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0133
DR. DANIEL WILLIAM MCLAUGHLIN M.D.
Family Medicine
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0134
DR. BARRY BENNETT MD
Family Medicine
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-5948
JONATHAN WILLIAM ROZACK FNP-C
Nurse Practitioner (Family)
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0133
DR. CATHY RUTH ARVIDSON FNP
Nurse Practitioner (Family)
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-6694
ERIC BENNETT PLLC
Family Medicine
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0133
DR. ERIC BENNETT M.D.
Family Medicine
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0133
MARK BENNETT PLLC
Social Worker (Clinical)
2775 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 524-0133

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 Southeast Idaho Family Practice's NPI number?

The NPI number for Southeast Idaho Family Practice is 1982759007. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Southeast Idaho Family Practice located?

Southeast Idaho Family Practice is located at 2775 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 524-0133.

What is Southeast Idaho Family Practice's specialty?

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

Does Southeast Idaho Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0869535) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeast Idaho Family Practice accept?

Health plans from University of Utah Health Plans list Southeast Idaho Family Practice 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 Southeast Idaho Family Practice was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.