Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Snake River Ear, Nose & Throat PC

Organization Specialist · NPI 1104912740

Snake River Ear, Nose & Throat PC provides Specialist services in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

706 N College Rd Ste C
Twin Falls, ID 83301 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 735-1000
Fax: (208) 732-5345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A89785 (ID)

Record details

NPI number1104912740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rod Kack — Owner · (208) 735-1000
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 15, 2013
Mailing address706 North College Road, Suite C, Twin Falls, ID 83301

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