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BOISE STATE PUBLIC HEALTH CLINIC NPI 1134905243


NPI Information

NPI: 1134905243
Provider Name: BOISE STATE PUBLIC HEALTH CLINIC

Doing Business As: BOISE STATE UNIVERSITY

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
2100 UNIVERSITY DR STE 107
BOISE, ID
ZIP 83725
Phone: (208) 426-1523
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BOISE STATE PUBLIC HEALTH CLINIC is a public health and general preventive medicine preventive medicine in Boise, ID. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. BOISE STATE PUBLIC HEALTH CLINIC NPI is 1134905243. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Boise State University.

The provider's business location address is:

2100 UNIVERSITY DR STE 107
BOISE, ID
ZIP 83725-001
Phone: (208) 426-1523
Fax: (509) 850-3535

The provider's authorized official is Stephanie Hudon .
The authorized official title is Director and has the following contact phone number (208) 995-3765.

The enumeration date for this NPI number is 9/5/2023 and was last updated on 10/12/2023.


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
12083P0901XPreventive MedicinePublic Health & General Preventive 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.