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Ridgeline Medical LLC

Family Medicine Physician in Idaho Falls, ID · enumerated 2018 · authorized official Martin Mangan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386110963

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Ridgeline Medical LLC
Other name <Unavail>
Practice address 2470 Jafer Ct, Idaho Falls, ID, 83404
Fax (208) 715-9992
Enumeration date Oct 22, 2018
Last updated in NPPES Nov 1, 2021

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207QS1201X Sleep Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Martin Mangan
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Ridgeline Medical LLC?
NPPES lists Martin Mangan (Owner) as the authorized official for this organization.
What is the NPI number for Ridgeline Medical LLC?
The NPI for Ridgeline Medical LLC is 1386110963, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-01.