NPI 1598748337
Southwest District Health
Practice location
- Address
- 13307 Miami Ln, Caldwell, ID 83607-4701
- Phone
- (208) 455-5305
- Fax
- (208) 455-5368
Authorised official
- Name
- Kelly S Boster
- Title
- Office Specialist II
- Phone
- (208) 455-5348
Registered specialties (3)
Public Health or Welfare Agency
Primary
Mental Health Counselor
Family Medicine Physician
Registry record
- NPI
- 1598748337
- Entity type
- Organization
- NPI issued
- 25 Nov 2005
- Record last updated
- 2 Feb 2024
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.