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FAMILY PRACTICE RESIDENCY OF IDAHO INC NPI 1982632550


NPI Information

NPI: 1982632550
Provider Name: FAMILY PRACTICE RESIDENCY OF IDAHO, INC

Doing Business As: FAMILY PRACTICE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
777 N RAYMOND ST
BOISE, ID
ZIP 83704
Phone: (208) 367-6030
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FAMILY PRACTICE RESIDENCY OF IDAHO, INC is a family medicine in Boise, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE RESIDENCY OF IDAHO, INC NPI is 1982632550. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Practice Medical Center.

The provider's business location address is:

777 N RAYMOND ST
BOISE, ID
ZIP 83704-251
Phone: (208) 367-6030
Fax: (208) 367-6123

The provider's authorized official is Ted Epperly .
The authorized official title is Chairman And Program Director and has the following contact phone number (208) 367-6042.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 1/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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