THE PEDIATRIC AND ADOLESCENT CENTER, INC.
NPI 1144341637
Legal Medicine in Boise, ID

Q: What is The Pediatric And Adolescent Center, Inc.'s specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since April 02, 2007

6148 N DISCOVERY WAY, SUITE 100, BOISE, ID 83713(208) 322-5437(208) 322-6013 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Pediatric And Adolescent Center, Inc. NPPES

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

THE PEDIATRIC AND ADOLESCENT CENTER, INC. (NPI 1144341637) is a healthcare organization registered as a legal medicine in Boise, Idaho and active in the NPI registry since April 2007. The organization lists William Sullivan Bourquard, Owner, as its authorized official.

NPPES Registry Identity

NPI1144341637

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameTHE PEDIATRIC AND ADOLESCENT CENTER, INC.

Location Address6148 N DISCOVERY WAY, SUITE 100Boise, ID 83713-0201

Mailing Address6148 N Discovery Way, Suite 100Boise, ID 83713-0201 · (208) 322-5437 · Fax (208) 322-6013

Phone(208) 322-5437

Fax(208) 322-6013

Organization SubpartNo

Authorized OfficialWilliam Sullivan BourquardOwner · (208) 322-5437

Enumeration DateApril 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1144341637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in ID · M-5223

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

6148 N DISCOVERY WAY, Boise, ID 83713

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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 2

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

MRS. CATHY DIANE SANDSTROM MD

Pediatrics

6148 N DISCOVERY WAY, SUITE 100
BOISE, ID 83713

Ada County (208) 322-5437

MR. WILLIAM SULLIVAN BOURQUARD MD

Pediatrics

6148 N DISCOVERY WAY, STE 100
BOISE, ID 83713

Ada County (208) 322-5437

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 The Pediatric And Adolescent Center, Inc.'s NPI number?

The NPI number for The Pediatric And Adolescent Center, Inc. is 1144341637. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is The Pediatric And Adolescent Center, Inc. located?

The Pediatric And Adolescent Center, Inc. is located at 6148 N Discovery Way Suite 100, Boise, ID 83713. The listed phone number is (208) 322-5437.

What is The Pediatric And Adolescent Center, Inc.'s specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for The Pediatric And Adolescent Center, Inc. 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.