South Fork Services, LLC
South Fork Services, LLC is a healthcare organization registered as Community/Behavioral Health Agency in Rexburg, ID, holding Type 2 (organization) NPI 1588006217 since 2013. The authorized official on file is Wade Gordon, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588006217 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | South Fork Services, LLC |
| Practice address | 310 N 2ND E STE 128, Rexburg, ID, 83440 |
| Phone | 2083565675 |
| Enumeration date | 2013-07-23 |
| Last updated in NPPES | 2013-07-23 |
Authorized official
| Name | Wade Gordon |
|---|---|
| Title | Owner |
| Phone | 2083565675 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | LCSW 27205 | ID |
Copy-ready billing details
Provider: South Fork Services, LLC NPI: 1588006217 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 310 N 2ND E STE 128, Rexburg, ID, 83440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770915076 | Sarah Dickey | Individual | Social Worker | Rexburg, ID |
Verify this record
Cross-check NPI 1588006217 against the authoritative CMS record: view South Fork Services, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is South Fork Services, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-23.