PURE HEALTHCARE OF IDAHO LLC (NPI# 1568005809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568005809 |
| Entity Type | Organization |
| Organization Name | PURE HEALTHCARE OF IDAHO LLC |
| Practice Address |
6560 W Emerald St Ste 122 Boise ID 83704-8781 |
| Mailing Address |
222 S Main St Ste 500 Salt Lake City UT 84101-2275 |
| Practice Telephone | 8555503358 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | JOSHUA THOMAS TANDY (CEO) |
| Authorized Official Telephone | 8555503358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
6560 W EMERALD ST STE 122 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083754733 | Eleanore Shumate | Physical Therapist | 6560 W Emerald St Ste 122, Boise, ID 83704-8781 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043545106 | Ashwood Recovery LLC. | Clinic/Center | 7941 W Rifleman St, Boise, ID 83704-9001 | 2009-10-07 |
| 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 |
| 1205345402 | Edge Medical Services Inc. | Clinic/Center | 2100 W Panama St, Boise, ID 83705-5120 | 2017-09-20 |
| 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.