BOISE VALLEY DOCTORS P.A. NPI 1578741393

NPI Information

NPI: 1578741393
Provider Name: BOISE VALLEY DOCTORS, P.A.

Doing Business As: FIRSTLINE MEDICAL

Classification: General Practice - 208D00000X
Entity Type: Organization

Address:
6000 W OVERLAND RD
BOISE, ID
ZIP 83709
Phone: (208) 323-7588
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BOISE VALLEY DOCTORS, P.A. is a general practice in Boise, ID. BOISE VALLEY DOCTORS, P.A. NPI is 1578741393. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Firstline Medical.

The provider's business location address is:

6000 W OVERLAND RD
BOISE, ID
ZIP 83709-013
Phone: (208) 323-7588
Fax: (208) 515-3468

The provider's authorized official is Allen Roger Neuenschwander .
The authorized official title is Ceo and has the following contact phone number (208) 323-7588.

The CLIA number assigned to this NPI record is 13D1079930 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 12/15/2011.

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	208D00000X	General Practice		M-2852	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M-2852	OTHER	IDAHO	MEDICAL LICENSE

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

NPI Synchronization or Removal

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