BOISE STATE HEALTH CENTER; NPI #1194865444

Contact Information

BOISE STATE HEALTH CENTER

1529 BELMONT ST
BOISE, ID 83725-1351

Phone: 208-426-1459
Fax: 208-426-3005
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for BOISE STATE HEALTH CENTER

NPI Number 1194865444

LBN Legal business name BOISE STATE HEALTH CENTER

Authorized official ROCHELLE WOLFE - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/07/2007

Last updated 12/08/2020 - About 5 years ago

Identifiers

License #

M-7056

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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