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Contact Information

ROCKY MOUNTAIN WELLNESS CLINIC
2065 E 17TH ST STE A
IDAHO FALLS, ID83404-8042
 Phone: 208-497-0541
 Fax: 208-497-0873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for ROCKY MOUNTAIN WELLNESS CLINIC

NPI # 1326915000
LBN Legal business name ROCKY MOUNTAIN WELLNESS CLINIC
Authorized official KYLEE JOHNSON - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2025
Last updated 10/20/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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