PURE HEALTHCARE OF IDAHO LLC NPI 1568005809

NPI Information

NPI: 1568005809
Provider Name: PURE HEALTHCARE OF IDAHO LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5975 W OVERLAND RD
BOISE, ID
ZIP 83709
Phone: (208) 488-4998
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PURE HEALTHCARE OF IDAHO LLC is a multi-specialty clinic center in Boise, ID. PURE HEALTHCARE OF IDAHO LLC NPI is 1568005809. The provider is registered as an organization entity type.

The provider's business location address is:

5975 W OVERLAND RD
BOISE, ID
ZIP 83709-012
Phone: (208) 488-4998

The provider's authorized official is Rachel Fraga .
The authorized official title is Contracting Manager and has the following contact phone number (801) 921-6325.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 3/16/2023.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			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

NPI Synchronization or Removal

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