NPI 1285971416

Children's Home Society of Idaho

Organisation General Practice Physician Boise, ID

Practice location

Address: 740 E Warm Springs Ave, Boise, ID 83712-6420
Phone: (208) 343-7797
Fax: (208) 343-0064

Authorised official

Name: Teresa Alexander
Title: Cheif Executive Director
Phone: (208) 343-7797

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1285971416
Entity type: Organization
NPI issued: 8 Jan 2013
Record last updated: 8 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.