# PRECISION MEDICAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Precision Health Corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780266288
- **Authorized official:** ELLIS REIBSTEIN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (208) 996-2692

## Contact information

- **Practice address:** 3820 CRESTWOOD LN, IDAHO FALLS, ID 83404-4979
- **Practice address phone:** (208) 918-2525
- **Practice address fax:** (800) 850-8736
- **Mailing address:** 6700 N LINDER RD STE 156AB307, MERIDIAN, ID 83646-6607
- **Mailing address phone:** (208) 918-2525
- **Mailing address fax:** (800) 310-6851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 04/23/2021
- **Last updated:** 03/18/2026