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Edgewood Spring Creek Soda Springs, LLC

Assisted Living Facility in Soda Springs, ID · enumerated 2011 · authorized official John Dybwad, Vp of Finance.

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

National Provider Identifier

1841575982

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Registry record

Entity type Organization (Type 2)
Legal business name Edgewood Spring Creek Soda Springs, LLC
Practice address 425 S Spring Creek Dr, Soda Springs, ID, 83276
Phone (208) 547-0257
Fax (208) 547-4879
Enumeration date Oct 20, 2011
Last updated in NPPES Aug 19, 2022

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License RC-1010 (ID) Primary

Authorized official

Name John Dybwad
Title Vp of Finance
Phone (701) 757-5422

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Edgewood Spring Creek Soda Springs, LLC?
Edgewood Spring Creek Soda Springs, LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-19.