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Club, Inc.

NPI 1215097480ActiveOrganization· Voluntary or Charitable· Idaho Falls, ID

Voluntary or Charitable in Idaho Falls, Idaho, registered in NPPES in December 2006. The authorized official on file is Mardee Harper, Executive Director.

Overview

NPI1215097480
StatusActive
Entity typeOrganization
NPI issuedDec 11, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Voluntary or Charitable Primary251V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years