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NPI · 1578277950 · NPPES-sourced

Jordan Ridge Family Medicine LLC

ActiveMobile Radiology Clinic/Center
NPI Number
1578277950
Type 2 · Organisation
Taxonomy Code
261QR0208X
Contact
(385) 274-3959
Primary practice line
Last Updated
Enumerated
Primary practice addressID · 83702-7374
322 E Front StBoise, ID 83702-7374
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About this NPIWhat this record shows.

NPI 1578277950 is registered to Jordan Ridge Family Medicine LLC, a healthcare organisation classified as "Mobile Radiology Clinic/Center" and located at 322 E Front St in Boise, Idaho. The organisation's authorised official is Emily Castillo. The organisation has been enumerated in the NPI registry since 2023.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 10 Mobile Radiology Clinic/Center providers on file in Idaho.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds a Medicare enrollment 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

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 Jordan Ridge Family Medicine LLC accepts. To confirm in-network status with your specific health plan, contact Jordan Ridge Family Medicine LLC directly at (385) 274-3959.

Frequently asked

Yes. NPI 1578277950 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Mobile Radiology 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 (385) 274-3959.

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. Jordan Ridge Family Medicine LLC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 10 Mobile Radiology Clinic/Center providers are registered in Idaho, and Jordan Ridge Family Medicine LLC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy261QR0208X
Last updated
Enumerated
StatusActive
Partneri
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Same specialtyOther Mobile Radiology Clinic/Center providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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