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PURE HEALTHCARE OF IDAHO LLC
NPI 1568005809
Clinic/Center - Multi-Specialty in Boise, ID

Active since October 18, 2019
5975 W OVERLAND RD, BOISE, ID 83709(208) 488-4998(801) 327-0211 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2025, Mar 16, 2023, Mar 7, 2023 and 3 more (6 updates tracked since 2019).

About Pure Healthcare Of Idaho Llc NPPES

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

PURE HEALTHCARE OF IDAHO LLC (NPI 1568005809) is a healthcare organization registered as a multi-specialty in Boise, Idaho and active in the NPI registry since October 2019. The organization maintains 5 additional practice locations and lists Rachel Fraga, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1568005809
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE HEALTHCARE OF IDAHO LLC
Location Address5975 W OVERLAND RDBoise, ID 83709-3012
Mailing Address4179 S Riverboat Rd Ste 220Taylorsville, UT 84123-2986 · (801) 755-3387
Phone(208) 488-4998
Fax(801) 327-0211
Organization SubpartNo
Authorized OfficialRachel FragaContracting Manager · (801) 921-6325
Enumeration DateOctober 18, 2019
Last NPPES UpdateMay 6, 20256 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1568005809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5975 W OVERLAND RD, Boise, ID 83709
Open in Google Maps ↗

Secondary Practice Locations 5

Location 111118 Moss LnNampa, ID 83651-8015 · Phone (208) 563-5910 · Fax (801) 327-0211
Location 21750 W McMillan Rd Ste 120Meridian, ID 83646-6891 · Phone (208) 900-4480 · Fax (801) 327-0211
Location 3916 W Ironwood Dr Ste Ul1Coeur D Alene, ID 83814-2642 · Phone (208) 577-5380 · Fax (801) 327-0211
Location 41411 Falls Ave E Ste 1151ATwin Falls, ID 83301-3455 · Phone (208) 543-7995
Location 53423 Merlin DrIdaho Falls, ID 83404-7430 · Phone (208) 217-9099 · Fax (801) 327-0211

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 4

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

DR. LUKE CORONE MAYES DC
Chiropractor
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 375-9000
MAYES CHIROPRACTIC, INC
Chiropractor
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 375-9000
TRAVIS FROGLEY FNP-C
Nurse Practitioner (Family)
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 488-4998
PURE INFUSION OF IDAHO LLC
Clinic/Center (Multi-Specialty)
5975 W OVERLAND RD
BOISE, ID 83709
Ada County (208) 488-4998

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 Pure Healthcare Of Idaho LLC's NPI number?

The NPI number for Pure Healthcare Of Idaho LLC is 1568005809. It was assigned to this organization in the NPPES registry on October 18, 2019.

Where is Pure Healthcare Of Idaho LLC located?

Pure Healthcare Of Idaho LLC is located at 5975 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 488-4998.

What is Pure Healthcare Of Idaho LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Pure Healthcare Of Idaho LLC accept?

Health plans from Moda Health Plan, Inc. list Pure Healthcare Of Idaho 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 Pure Healthcare Of Idaho LLC was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.