Whalio Doctors

NPI 1700129491

Human Supports of Idaho

Organisation General Practice Physician Caldwell, ID

Practice location

Address
206 E Elm St, Caldwell, ID 83605-4815
Phone
(208) 454-8389
Fax
(208) 454-8404
Mailing address
4477 W Emerald St STE C100, Boise, ID 83706-2058

Authorised official

Name
Alita Ruby
Title
Administrative Service Manager
Phone
(208) 454-8389

Registered specialties (5)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Registry record

NPI
1700129491
Entity type
Organization
NPI issued
1 Apr 2013
Record last updated
23 Dec 2025

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.