MEDICARE: PRECISION MEDICAL CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133V00000X	Registered Dietitian
2	133N00000X	Nutritionist
3	363A00000X	Physician Assistant
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	183500000X	Pharmacist
6	363AM0700X	Medical Physician Assistant
7	101YM0800X	Mental Health Counselor
8	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician
9	364S00000X	Clinical Nurse Specialist
10	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1780266288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION MEDICAL CARE LLC

Provider Business Mailing Address
First Line	:	6700 N LINDER RD STE 156AB307
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-6607
Country	:	US
Telephone Number	:	208-918-2525
Fax Number	:	800-310-6851

Provider Business Practice Location Address
First Line	:	3820 CRESTWOOD LN
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-4979
Country	:	US
Telephone Number	:	208-918-2525
Fax Number	:	800-850-8736

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	ELLIS REIBSTEIN
Credential	:
Telephone Number	:	208-996-2692

Provider Enumeration Date	:	04/23/2021
Last Update Date	:	03/18/2026

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Directions to “PRECISION MEDICAL CARE LLC ” Practice Location

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