NPI 1356494272

Edward H Newcombe

Organisation Health Maintenance Organization Boise, ID

Practice location

Address: 2036 N Cole Rd, Boise, ID 83704-7309
Phone: (208) 375-0722

Authorised official

Name: Carmen Valory Carlo
Title: Office/Billing Manager
Phone: (208) 375-0722

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence M2849 (ID)

Other Health Maintenance Organization providers in Idaho →

Registry record

NPI: 1356494272
Entity type: Organization
NPI issued: 22 Jan 2007
Record last updated: 5 Mar 2009

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.