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FUNCTIONAL MEDICINE OF IDAHO PC
NPI 1336656040
Family Medicine in Boise, ID

Active since January 03, 2018
3858 N GARDEN CENTER WAY STE 100, BOISE, ID 83703(208) 385-7711(208) 385-0346 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Functional Medicine Of Idaho Pc NPPES

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

FUNCTIONAL MEDICINE OF IDAHO PC (NPI 1336656040) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since January 2018. The organization lists Samuel James Warren, President, as its authorized official.

NPPES Registry Identity

NPI1336656040
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFUNCTIONAL MEDICINE OF IDAHO PC
Location Address3858 N GARDEN CENTER WAY STE 100Boise, ID 83703-5008
Mailing Address3858 N Garden Center Way Ste 100Boise, ID 83703-5008 · (208) 385-7711 · Fax (208) 385-0346
Phone(208) 385-7711
Fax(208) 385-0346
Organization SubpartNo
Authorized OfficialSamuel James WarrenPresident · (208) 385-7711
Enumeration DateJanuary 3, 2018
✔ NPI 1336656040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3858 N GARDEN CENTER WAY STE 100, Boise, ID 83703
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

MS. AMY RAY FNP-BC
Nurse Practitioner (Family)
3858 N GARDEN CENTER WAY STE 100
BOISE, ID 83703
Ada County (208) 385-7711
MR. MICHAEL T ORLOFF
Physician Assistant
3858 N GARDEN CENTER WAY STE 100
BOISE, ID 83703
Ada County (208) 385-7711

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 Functional Medicine Of Idaho PC's NPI number?

The NPI number for Functional Medicine Of Idaho PC is 1336656040. It was assigned to this organization in the NPPES registry on January 3, 2018.

Where is Functional Medicine Of Idaho PC located?

Functional Medicine Of Idaho PC is located at 3858 N Garden Center Way Ste 100, Boise, ID 83703. The listed phone number is (208) 385-7711.

What is Functional Medicine Of Idaho PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Functional Medicine Of Idaho PC accept?

Health plans from Moda Health Plan, Inc. list Functional Medicine Of Idaho PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Functional Medicine Of Idaho PC was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.