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KEYSTONE CENTER FOR GERIATRICS LLC
NPI 1376211268
Family Medicine - Geriatric Medicine in Boise, ID

Active since September 03, 2021CLIA 13D2304479 · Waiver
305 W BANNOCK ST, BOISE, ID 83702(208) 514-0670 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keystone Center For Geriatrics Llc NPPES

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

KEYSTONE CENTER FOR GERIATRICS LLC (NPI 1376211268) is a healthcare organization registered as a geriatric medicine in Boise, Idaho and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Leonard Richard Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1376211268
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameKEYSTONE CENTER FOR GERIATRICS LLC
Location Address305 W BANNOCK STBoise, ID 83702-6033
Mailing Address305 W Bannock StBoise, ID 83702-6033 · (208) 514-0670
Phone(208) 514-0670
Organization SubpartNo
Authorized OfficialLeonard Richard JensenOwner · (208) 514-0670
Enumeration DateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1376211268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
305 W BANNOCK ST, Boise, ID 83702
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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2304479

Keystone Center For Geriatrics · Boise, ID
Active · expires May 13, 2028
CLIA Number13D2304479
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorMegan Dunay
Laboratory Phone(208) 963-1034
Laboratory LocationKeystone Center For Geriatrics305 W Bannock St, Boise, ID 83702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Keystone Center For Geriatrics LLC's NPI number?

The NPI number for Keystone Center For Geriatrics LLC is 1376211268. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Keystone Center For Geriatrics LLC located?

Keystone Center For Geriatrics LLC is located at 305 W Bannock St, Boise, ID 83702. The listed phone number is (208) 514-0670.

What is Keystone Center For Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Keystone Center For Geriatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2304479) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keystone Center For Geriatrics LLC accept?

Health plans from Moda Health Plan, Inc. list Keystone Center For Geriatrics LLC 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 Keystone Center For Geriatrics LLC was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.