Organization · Type 2 NPI

Essential Life Boise, LLC

Medical Specialty Clinic/Center · Boise, ID

NPI number 1669727400 Active

Practice location

13125 W Persimmon Ln, Suite 100
Boise, ID 83713

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	CHIA1466 (ID)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

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About NPI 1669727400

Essential Life Boise, LLC's National Provider Identifier is 1669727400, issued on Jul 18, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Boise, ID. The record was last updated on Jul 18, 2012.