| Rindfleisch Family Practice Pllc | |
|
4954 E Powerhouse Dr Idaho Falls ID 83406-5064 | |
| (208) 419-8817 | |
| Not Available |
| Full Name | Rindfleisch Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4954 E Powerhouse Dr, Idaho Falls, Idaho |
| Authorized Official Name and Position | Dallas Rindfleisch (OWNER) |
| Authorized Official Contact | 2084198817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rindfleisch Family Practice Pllc 4954 E Powerhouse Dr Idaho Falls ID 83406-5064 Ph: (208) 419-8817 | Rindfleisch Family Practice Pllc 4954 E Powerhouse Dr Idaho Falls ID 83406-5064 Ph: (208) 419-8817 |
| NPI Number | 1740663806 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 9335446202 |
|---|---|
| Medicare Enrollment ID | O20160322000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740663806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0692 (Idaho) | Primary |
| Provider Name | Dallas G Rindfleisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073834974 PECOS PAC ID: 9436393501 Enrollment ID: I20130912000103 |
| Provider Name | Amy A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495450 PECOS PAC ID: 0547548158 Enrollment ID: I20230111002042 |
| Provider Name | Marie Blacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521543 PECOS PAC ID: 5496081903 Enrollment ID: I20230224000336 |
| Provider Name | Julie Fernandez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932808763 PECOS PAC ID: 7618332792 Enrollment ID: I20230424002867 |
| Provider Name | Lexie Jex |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083286140 PECOS PAC ID: 6002211976 Enrollment ID: I20230503002935 |
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