BOISE HOUSE CALLS, LLC


Address: 303 Elk Creek Road, Suite Box 88, Idaho City, ID 83631
Phone: 2088486703

BOISE HOUSE CALLS, LLC (NPI# 1154877918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154877918
Entity Type Organization
Organization Name BOISE HOUSE CALLS, LLC
Practice Address 303 Elk Creek Road
Suite Box 88
Idaho City
ID 83631
Mailing Address 303 Elk Creek Road
Po Box 88
Idaho City
ID 83631
Practice Telephone 2088486703
Practice Fax Number 2083924128
Mailing Telephone 2084846703
Mailing Fax Number 2083924128
Enumeration Date 2016-08-31
Last Update Date 2016-08-31
Authorized Official Name LYNDA JOANNE MARICLE-KUWAHARA (OWNER)
Authorized Official Telephone 2084846703
Authorized Official Credential APRN-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
NP 289 ID Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID 804161900 05

Office Location

Street Address 303 ELK CREEK ROAD
SUITE BOX 88
City IDAHO CITY
State ID
Zip Code 83631

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NPI Name Taxonomy Address Enumeration
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1265661003 Vicki Voss Speech-Language Pathologist 65 Brassey Cir, Idaho City, ID 83631-4103 2009-07-14
1245469139 Karla J West Counselor 59 S Meadow Creek Dr, Centerville, ID 83631-4135 2009-07-13
1487633293 Lynda J Maricle-kuwahara Nurse Practitioner 3852 Highway 21, Idaho City, ID 83631-4176 2006-01-10

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City IDAHO CITY
Zip Code 83631

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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