MEDICARE: REHAB SYSTEMS TWIN FALLS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010014274	OTHER	ID	BLUE SHIELD
2	86728	OTHER	ID	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245239060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB SYSTEMS TWIN FALLS LLC

Provider Business Mailing Address
First Line	:	542 ADDISON AVE W
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-5039
Country	:	US
Telephone Number	:	208-736-7330
Fax Number	:	208-736-7332

Provider Business Practice Location Address
First Line	:	542 ADDISON AVE W
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-5039
Country	:	US
Telephone Number	:	208-736-7330
Fax Number	:	208-736-7332

Authorized Official
Title or Position	:	ADMIN MANAGER
Name	:	COLETTE BROWN
Credential	:
Telephone Number	:	208-342-4104

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	06/09/2025

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