# MOUNTAIN HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Idaho Physician Access Cloud Clinic, EIPACC, MHW, East Idaho Physician Access Cloud Clinic, Mountain Health & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649847823
- **Authorized official:** DR. MARTIN ANGUS MANGAN DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (208) 220-1057

## Contact information

- **Practice address:** 16 S 1ST E, REXBURG, ID 83440-1902
- **Practice address phone:** (208) 520-2809
- **Practice address fax:** (877) 316-8001
- **Mailing address:** 16 S 1ST E, REXBURG, ID 83440-1902
- **Mailing address phone:** (208) 520-2809
- **Mailing address fax:** (877) 316-8001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/07/2021
- **Last updated:** 09/24/2026