RIDGELINE MEDICAL LLC – NPI #1386110963
Family Medicine

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.

RIDGELINE MEDICAL LLC is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1386110963 to RIDGELINE MEDICAL LLC on October 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Nov 01, 2021. 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 RIDGELINE MEDICAL LLC below.

NPI Profile for
RIDGELINE MEDICAL LLC

NPI Number
1386110963
Enumeration Date

(more than 7 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
RIDGELINE MEDICAL LLC
Doing Business As (dba): RIDGELINE MEDICAL LLC
Primary location
2470 JAFER CT
IDAHO FALLS, ID 83404-5587
Phone: (208) 715-9990 Fax: (208) 715-9992
Mailing address
2429 JAFER CT
IDAHO FALLS, ID 83404-5587
Phone: (208) 715-9990 Fax: (208) 715-9992
Organization Subpart
No
Authorized Official
MARTIN MANGAN
OWNER
Phone: (208) 715-9990
Updated
Certification Date
Nov 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.