Healthcare Provider Details

I. General information

NPI: 1972367340
Provider Name (Legal Business Name): ASCENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 RIVER VISTA PL STE 101
TWIN FALLS ID
83301-3019
US

IV. Provider business mailing address

247 RIVER VISTA PL STE 101
TWIN FALLS ID
83301-3019
US

V. Phone/Fax

Practice location:
  • Phone: 208-735-2273
  • Fax: 208-735-2276
Mailing address:
  • Phone: 208-735-2273
  • Fax: 208-735-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BING GRANT PARKINSON
Title or Position: PHYSICIAN
Credential: MD
Phone: 208-735-2273