Organization · Type 2 NPI
Boise Vamc
VA Clinic/Center · Mountain Home, ID
NPI number
1003223165
Active
Practice location
815 N 6th E
Mountain Home, ID 83647-2207
Mailing address
PO Box 94402
Cleveland, OH 44101-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
10 other providers at this address
- Dental Center P.l.l.c.General Practice Dentistry Mountain Home, ID NPI 1144335886
- Anna Marie Garvin, RNGeneral Practice Registered Nurse Mountain Home, ID NPI 1174149264
- Belinda Ann Childers, BSN, RN, CCRN, MARegistered Nurse Mountain Home, ID NPI 1528789153
- Gail Brent Adams, DMDGeneral Practice Dentistry Mountain Home, ID NPI 1710191838
- Katie A. OwensGeneral Practice Registered Nurse Mountain Home, ID NPI 1811694995
- Kenneth Troy Stevens, DDSGeneral Practice Dentistry Mountain Home, ID NPI 1114131315
- Lisa Jo Goodsell, RN, MSN, PCCNRegistered Nurse Mountain Home, ID NPI 1477477297
- Nicole Lynn RealLicensed Practical Nurse Mountain Home, ID NPI 1508567694
- Randi Ortega, LPNLicensed Practical Nurse Mountain Home, ID NPI 1679191241
- Robert Terry Hall, DDSGeneral Practice Dentistry Mountain Home, ID NPI 1851503056
About NPI 1003223165
Boise Vamc's National Provider Identifier is 1003223165, issued on Jul 21, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Mountain Home, ID. The record was last updated on Oct 31, 2017.