Organization · Type 2 NPI

Human Supports of Idaho

General Practice Physician · Caldwell, ID

NPI number 1700129491 Active

Practice location

206 E Elm St
Caldwell, ID 83605-4815

Fax (208) 454-8404

Mailing address

4477 W Emerald St Ste C100
Boise, ID 83706-2058

Other practice locations

  • 4477 W Emerald St Ste C100, Boise, ID 83706-2058 · (208) 321-0160

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
General Practice Physician Primary 208D00000XNone listed
Physician Assistant 363A00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

12 other providers at this address

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About NPI 1700129491

Human Supports of Idaho's National Provider Identifier is 1700129491, issued on Apr 1, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Caldwell, ID. The record was last updated on Dec 23, 2025.