Henrys Fork Surgery Center PLLC
About this NPIWhat this record shows.
NPI 1235768490 is registered to Henrys Fork Surgery Center PLLC, a healthcare organisation classified as "Ambulatory Surgical Clinic/Center" and located at 23 Sawtelle Ave in Rexburg, Idaho. The organisation's authorised official is Jeremy Johnson. The organisation has been enumerated in the NPI registry since 2020.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 3 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20201216001788Ambulatory Surgical CenterID
- O20250612003137Ambulatory Surgical CenterID
- O20250619001417Ambulatory Surgical CenterID
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Henrys Fork Surgery Center PLLC accepts. To confirm in-network status with your specific health plan, contact Henrys Fork Surgery Center PLLC directly at (208) 359-1888.
Frequently asked
Yes. NPI 1235768490 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Ambulatory Surgical Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 359-1888.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Henrys Fork Surgery Center PLLC is a Type-2 organisational NPI.