4 PILLARS OF SUCCESS LLC — NPI 1992487615 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in AMMON, ID)

CMS-1500 Box 24J / 33a • NPI

1992487615

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261Q00000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

1619 CURLEW DR STE 7, AMMON, ID, 83406-4719

✓ 9-Digit EDI 837 ZIP+4 (83406-4719)

Practice Phone & Referral Fax

(208) 523-5319

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1992487615 (4 PILLARS OF SUCCESS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1992487615` (NPI-2 Organization / Facility)
Provider / Legal Name	4 PILLARS OF SUCCESS LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261Q00000X` (Clinic/Center)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	1619 CURLEW DR STE 7, AMMON, ID, 83406-4719
Practice Telephone / Fax	Tel: (208) 523-5319
Administrative Mailing Address	PO BOX 2106, IDAHO FALLS, ID, 83403-2106
Enumeration & Last Sync	Enumerated: 2023-08-02 \| CMS Record Updated: 2026-01-07
Authorized Official	DEMI ECHI-ABOLI (Billing Department Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1619 CURLEW DR STE 7, AMMON, ID, 83406-4719

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Plain-English Taxonomy & CMS Crosswalk (261Q00000X)

What Does Taxonomy Code 261Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261Q00000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (4 PILLARS OF SUCCESS LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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4 PILLARS OF SUCCESS LLC (NPI #1992487615)