BOISE VAMC NPI 1124152921

NPI Information

  • NPI: 1124152921
  • Provider Name: BOISE VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: CALDWELL VA CLINIC
  • Address: 713 HAYSTACK WAY
    CALDWELL, ID
    ZIP 83605
  • Phone: (702) 341-3164

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NPI Details

BOISE VAMC is a va clinic center in Caldwell, ID. BOISE VAMC NPI is 1124152921. The provider is registered as an organization entity type.
The provider Other Name Is Caldwell Va Clinic.

The provider's business location address is:

713 HAYSTACK WAY
CALDWELL, ID
ZIP 83605-981
Phone: (702) 341-3164

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 11/3/2023.

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
1261QV0200XClinic/CenterVAYes

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: 3/30/2025

NPI Synchronization or Removal

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