HOPE CENTER CLINIC LLC NPI 1104644343

NPI Information

  • NPI: 1104644343
  • Provider Name: HOPE CENTER CLINIC, LLC
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 1111 S ORCHARD ST STE 102
    BOISE, ID
    ZIP 83705
  • Phone: (208) 919-4692

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NPI Details

HOPE CENTER CLINIC, LLC is a peer specialist in Boise, ID. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. HOPE CENTER CLINIC, LLC NPI is 1104644343. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 S ORCHARD ST STE 102
BOISE, ID
ZIP 83705-961
Phone: (208) 919-4692
Fax: (410) 824-1482

The provider's authorized official is Marcee Jones .
The authorized official title is Credentialing Director and has the following contact phone number (410) 824-1480.

The enumeration date for this NPI number is 9/27/2024 and was last updated on 9/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184495954MEDICAIDIDAHO

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: 11/21/2025

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