SOUTHERN IDAHO PAIN INSTITUTE P.C. – NPI #1336240670
Clinic/Center

SOUTHERN IDAHO PAIN INSTITUTE P.C. is an AHC clinic located in TWIN FALLS, ID. NPPES has assigned the NPI number 1336240670 to SOUTHERN IDAHO PAIN INSTITUTE P.C. on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 16 years ago on Feb 26, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN IDAHO PAIN INSTITUTE P.C. below.

NPI Profile for
SOUTHERN IDAHO PAIN INSTITUTE P.C.

NPI Number
1336240670
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN IDAHO PAIN INSTITUTE P.C.
Primary location
236 MARTIN ST.
TWIN FALLS, ID 83301
Phone: (208) 733-3181 Fax: (208) 733-3168
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLINTON DILLE
OWNER/ANESTHESIOLOGIST
Phone: (208) 733-3181
Updated
Identifiers

Identifiers for SOUTHERN IDAHO PAIN INSTITUTE P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS ASC#ID03384
OTHERREGENCE ASC #ID000010006663
MEDICAIDID804229000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
ID M7113

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.