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CAPITAL CITY FAMILY MEDICINE PA NPI 1992731319


NPI Information

NPI: 1992731319
Provider Name: CAPITAL CITY FAMILY MEDICINE PA

Former Legal Business Name: CAPITAL CITY FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1520 W STATE ST
STE 100
BOISE, ID
ZIP 83702
Phone: (208) 947-7700
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CAPITAL CITY FAMILY MEDICINE PA 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. CAPITAL CITY FAMILY MEDICINE PA NPI is 1992731319. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Capital City Family Medicine.

The provider's business location address is:

1520 W STATE ST
STE 100
BOISE, ID
ZIP 83702-084
Phone: (208) 947-7700
Fax: (208) 947-7711

The provider's authorized official is Liz A Frisbey .
The authorized official title is Office Manager and has the following contact phone number (208) 947-7700.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 6/17/2008.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11370876MEDICARE PINIDAHO
28052516OTHERIDAHOMEDICAID MID-LEVEL GROUP
38052796MEDICAIDIDAHO

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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