MOUNTAIN STATES DIABETES RELIEF, LLC – NPI #1144783499
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

MOUNTAIN STATES DIABETES RELIEF, LLC is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1144783499 to MOUNTAIN STATES DIABETES RELIEF, LLC on April 12, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

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 MOUNTAIN STATES DIABETES RELIEF, LLC below.

NPI Profile for
MOUNTAIN STATES DIABETES RELIEF, LLC

NPI Number
1144783499
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
MOUNTAIN STATES DIABETES RELIEF, LLC
Primary location
4573 E MAJESTIC
IDAHO FALLS, ID 83406
Phone: (208) 520-2636 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATIE DAVENPORT
PARTNER
Phone: (208) 520-2636
Updated
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

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.