BOISE MINOR EMERGENCY CENTER PA
NPI 1114938909
General Practice in Boise, ID

Active since August 10, 2006
2993 N COLE RD, BOISE, ID 83704(208) 378-0400(208) 378-7529 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boise Minor Emergency Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOISE MINOR EMERGENCY CENTER PA (NPI 1114938909) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since August 2006. The organization lists Gary Canova, Owner, as its authorized official.

NPPES Registry Identity

NPI1114938909
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBOISE MINOR EMERGENCY CENTER PA
Location Address2993 N COLE RDBoise, ID 83704-5977
Mailing Address2993 N Cole RdBoise, ID 83704-5977 · (208) 378-0400 · Fax (208) 378-7529
Fax(208) 378-7529
Organization SubpartNo
Authorized OfficialGary CanovaOwner · (208) 378-0400
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1114938909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2993 N COLE RD, Boise, ID 83704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2993 N COLE RD
BOISE, ID 83704
Family Medicine
2993 N COLE RD
BOISE, ID 83704
Family Medicine
2993 N COLE RD
BOISE, ID 83704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boise Minor Emergency Center PA's NPI number?

The NPI number for Boise Minor Emergency Center PA is 1114938909. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Boise Minor Emergency Center PA located?

Boise Minor Emergency Center PA is located at 2993 N Cole Rd, Boise, ID 83704. The listed phone number is (208) 378-0400.

What is Boise Minor Emergency Center PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Boise Minor Emergency Center PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.