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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NP 289 | ID | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 804161900 | 05 |
Street Address |
303 ELK CREEK ROAD SUITE BOX 88 |
City | IDAHO CITY |
State | ID |
Zip Code | 83631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053801035 | East Boise County Ambulance District | Ambulance | 204 W. Commercial St, Idaho City, ID 83631 | 2018-05-15 |
1386781292 | County of Boise School Dist 72 | Local Education Agency (LEA) | 100 Centerville Rd, Idaho City, ID 83631 | 2007-01-31 |
1316003379 | Boise County | Ambulance | Boise County Office, 420 Main Street, Idaho City, ID 83631 | 2006-12-27 |
1992964597 | Idaho City Family Dentistry | Dentist | 219 Main Street, Idaho City, ID 83631 | 2008-06-09 |
1417120304 | Assurance Behavioral Health, LLC. | Case Management | 3852 Highway 21, Idaho City, ID 83631 | 2008-04-11 |
1538337357 | Health and Financial Consulting | Nurse Practitioner | 3852 Hwy 21, Idaho City, ID 83631-0554 | 2008-02-14 |
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 Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1235618331 | Healthworks Med Group of Colorado P C | Clinic/Center | 126 E 21st St, Burley, ID 83318-2551 | 2018-08-09 |
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1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
1073031118 | Clover Creek Medical | Clinic/Center | 175 North Main Street, Bloomington, ID 83223-8322 | 2017-09-08 |
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City | IDAHO CITY |
Zip Code | 83631 |
Please comment or provide details below to improve the information on BOISE HOUSE CALLS, LLC.
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.