# SIPI CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Idaho Pain Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780398586
- **Authorized official:** DENISE RUE (OFFICE MANAGER)
- **Authorized official phone:** (208) 733-3181

## Contact information

- **Practice address:** 176 FALLS AVE, TWIN FALLS, ID 83301-2306
- **Practice address phone:** (208) 733-3181
- **Practice address fax:** (208) 733-3168
- **Mailing address:** 176 FALLS AVE, TWIN FALLS, ID 83301-2306
- **Mailing address phone:** (208) 733-3181
- **Mailing address fax:** (208) 733-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 05/06/2024