Organization
MOUNTAIN HEALTH & WELLNESS
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
Authorized official
DR. MARTIN ANGUS MANGAN DO (MEDICAL DIRECTOR)
(208) 220-1057
Entity
Organization
Contact information
Practice address
16 S 1ST E, REXBURG, ID 83440-1902
(208) 520-2809
(877) 316-8001
Mailing address
16 S 1ST E, REXBURG, ID 83440-1902
(208) 520-2809
(877) 316-8001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/07/2021
Last updated
04/23/2026
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