EDGE MEDICAL SERVICES INC. (NPI# 1205345402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205345402 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES INC. |
| Practice Address |
2100 W Panama St Boise ID 83705-5120 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | FAITH BLEVENS (ADMIN) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1437660115 | Edge Medical Services Inc. | Clinic/Center | 2100 E 70th St, Shreveport, LA 71105-5363 | 2017-10-20 |
| 1659882330 | Edge Medical Services Inc. | Clinic/Center | 25880 Tournament Rd Ste 109, Valencia, CA 91355-2384 | 2017-10-20 |
| 1275044075 | Edge Medical Services Inc. | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2017-10-19 |
| 1265951644 | Edge Medical Services Inc. | Clinic/Center | 9261 Yosemite Blvd, Modesto, CA 95357-1877 | 2017-09-17 |
| 1326567454 | Edge Medical Services Inc. | Clinic/Center | 4709 Westlake Dr, Fort Worth, TX 76132-1514 | 2017-09-09 |
| 1154836914 | Edge Medical Services Inc. | Clinic/Center | 4102 Ailey Ct, Peachtree Corners, GA 30092-2453 | 2017-12-02 |
| 1316451800 | Edge Medical Services Inc. | Clinic/Center | 2325 S Hanover Saluda Rd, Hanover, IN 47243-9196 | 2017-11-21 |
| 1295248516 | Edge Medical Services Inc. | Clinic/Center | 225 Inspiration Ln, Covington, LA 70433-7420 | 2017-11-08 |
| 1720590888 | Edge Medical Services Inc. | Clinic/Center | 80 Oak Valley Dr, Spring Hill, TN 37174-2596 | 2017-10-30 |
| Street Address |
2100 W PANAMA ST |
| City | BOISE |
| State | ID |
| Zip Code | 83705-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588932 | Suzie G Campana | Midwife | 2100 W Panama St, Boise, ID 83705-5120 | 2016-10-05 |
| 1811407257 | National Birth Centers Inc | Clinic/Center | 2100 W Panama St, Boise, ID 83705-5120 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1043545106 | Ashwood Recovery LLC. | Clinic/Center | 7941 W Rifleman St, Boise, ID 83704-9001 | 2009-10-07 |
| 1568005809 | Pure Healthcare of Idaho LLC | Clinic/Center | 6560 W Emerald St Ste 122, Boise, ID 83704-8781 | 2019-10-18 |
| 1699316190 | Boise Plastic Surgery Boise Hand Center Pllc | Clinic/Center | 1070 N Curtis Rd Ste 135, Boise, ID 83706-1257 | 2019-10-05 |
| 1841780475 | Always A Way, LLC | Clinic/Center | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-05-18 |
| 1811329592 | Family Care Clinic, LLC | Clinic/Center | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2013-08-05 |
| 1568608800 | Alliance Medical Group, LLC | Clinic/Center | 6052 W State St, Boise, ID 83703-2739 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1346799483 | Healing Sanctuary LLC | Clinic/Center | 187 E 13th St, Idaho Falls, ID 83404-5305 | 2016-09-30 |
| 1760741334 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 131 Constitution Way, Nampa, ID 83686 | 2012-05-16 |
| 1750681607 | Family Services, Pllc | Clinic/Center | 501 N 16th St Ste 108, Payette, ID 83661-2782 | 2010-10-26 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| 1659371870 | Saint Alphonsus Medical Center Nampa, Inc. | Clinic/Center | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2005-07-29 |
| 1881200517 | Vannvei LLC | Clinic/Center | 1522 17th St, Lewiston, ID 83501-3652 | 2020-09-18 |
| 1831716182 | Regenesis Health Centre Inc. | Clinic/Center | 430 W Iowa Ave Ste A, Nampa, ID 83686-2826 | 2020-07-02 |
| 1407335367 | Beacon Cancer Care Pllc | Clinic/Center | 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814 | 2018-08-11 |
| 1184135337 | Valley Family Health Care, Inc | Clinic/Center | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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| 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.