EAST BOISE COUNTY MEDICAL CLINIC
NPI 1255608238
Nurse Practitioner - Family in Boise, ID

Q: What is East Boise County Medical Clinic's NPI number?

The NPI number for East Boise County Medical Clinic is 1255608238. It was assigned to this organization in the NPPES registry on November 19, 2011.

Q: What is East Boise County Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 19, 2011

3852 HIGHWAY 21, BOISE, ID 83716(208) 392-4544(208) 392-4128 Get Directions Write a Review

NPPES record last updated: November 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About East Boise County Medical Clinic NPPES

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

EAST BOISE COUNTY MEDICAL CLINIC (NPI 1255608238) is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since November 2011. The organization lists Lynda Joanne Maricle-kuwahara, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255608238

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameEAST BOISE COUNTY MEDICAL CLINIC

Location Address3852 HIGHWAY 21Boise, ID 83716

Mailing Address3852 Highway 21Boise, ID 83716 · (208) 392-4544 · Fax (208) 392-4128

Phone(208) 392-4544

Fax(208) 392-4128

Organization SubpartNo

Authorized OfficialLynda Joanne Maricle-kuwaharaExecutive Director · (208) 392-4544

Enumeration DateNovember 19, 2011

✔ NPI 1255608238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

3852 HIGHWAY 21, Boise, ID 83716

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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

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 East Boise County Medical Clinic's NPI number?

The NPI number for East Boise County Medical Clinic is 1255608238. It was assigned to this organization in the NPPES registry on November 19, 2011.

Where is East Boise County Medical Clinic located?

East Boise County Medical Clinic is located at 3852 Highway 21, Boise, ID 83716. The listed phone number is (208) 392-4544.

What is East Boise County Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for East Boise County Medical Clinic was last updated on November 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.