BOISE STATE HEALTH CENTER NPI 1194865444

NPI Information

NPI: 1194865444
Provider Name: BOISE STATE HEALTH CENTER

Doing Business As: BOISE STATE UNIVERSITY

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1529 BELMONT ST
BOISE, ID
ZIP 83725
Phone: (208) 426-1459
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BOISE STATE HEALTH CENTER is a student health clinic center in Boise, ID. BOISE STATE HEALTH CENTER NPI is 1194865444. The provider is registered as an organization entity type.
The provider Is Doing Business As Boise State University.

The provider's business location address is:

1529 BELMONT ST
BOISE, ID
ZIP 83725-351
Phone: (208) 426-1459
Fax: (208) 426-3005

The provider's authorized official is Rochelle Wolfe .
The authorized official title is Medical Director and has the following contact phone number (208) 426-1470.

The CLIA number assigned to this NPI record is 13D2244492 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/8/2020.

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
1	261QS1000X	Clinic/Center	Student Health	M-7056	IDAHO	Yes

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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