Organization · Type 2 NPI

Boise Vamc

VA Clinic/Center · Caldwell, ID

NPI number 1124152921 Active

Practice location

713 Haystack Way
Caldwell, ID 83605-6981

Mailing address

PO Box 94402
Cleveland, OH 44101-4402

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

VA Clinic/Center: Definition to come...

5 other providers at this address

About NPI 1124152921

Boise Vamc's National Provider Identifier is 1124152921, issued on Mar 15, 2007. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Caldwell, ID. The record was last updated on Nov 3, 2023.