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DR. KIRK A. CAMPANA M.D. NPI 1205819950


NPI Information

NPI: 1205819950
Provider Name: DR. KIRK A. CAMPANA, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: BLOOM CARE LLC

PECOS Registration: Yes

Address:
4750 N FIVE MILE RD
BOISE, ID
ZIP 83713
Phone: (208) 375-0500
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DR. Kirk A. Campana, M.D. is a general practice in Boise, ID with 37 years of experience. DR. Kirk A. Campana, M.D. NPI is 1205819950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

4750 N FIVE MILE RD
BOISE, ID
ZIP 83713-715
Phone: (208) 375-0500
Fax: (208) 375-4310

The NPI 1205819950 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 10/24/2014.


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
1208D00000XGeneral PracticeM-1176-1IDAHOYes

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: 11/14/2023

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.