FAMILY CARE CLINIC LLC
NPI 1568700128
Clinic/Center - Primary Care in Boise, ID

NPI Status: Active since January 16, 2013

Contact Information

8050 W RIFLEMAN ST STE 100
BOISE, ID
ZIP 83704
Phone: (208) 321-0634
Fax: (208) 321-1082

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Primary Care
CLIA Number: 13D2012755
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 09-08-2026

About FAMILY CARE CLINIC LLC

This page provides the complete NPI Profile along with additional information for Family Care Clinic Llc, a primary care provider established in Boise, Idaho operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1568700128 assigned on January 2013. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Laurie Miller (Office Manager)

NPI: 1568700128
Provider Name: FAMILY CARE CLINIC LLC
Entity Type: Organization
Location Address: 8050 W RIFLEMAN ST STE 100 BOISE, ID 83704
Location Phone: (208) 321-0634
Location Fax: (208) 321-1082
Mailing Address: 8050 W RIFLEMAN ST STE 100 BOISE, ID 83704
Mailing Phone: (208) 321-0634
Mailing Fax: (208) 321-1082
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-16-2013
Last Update Date: 08-05-2013
Code Navigator

A primary care provider (PCP) like Family Care Clinic Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Primary Care
Taxonomy Code: 261QP2300X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: LAURIE MILLER
Authorized Official Title: OFFICE MANAGER
Authorized Official Phone: (208) 321-0634

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1265565477	MEDICAID (05)	ID

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 13D2012755
Facility Type: Physician Office
Certificate Effective Date: September 09, 2024
Certificate Expiration Date: September 08, 2026
Laboratory Director: JEANNIE ARCHER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Family Care Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	6	8	7	0	0	1	2	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	12	8	14	0	0	1	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 0 + 0 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8									8

The NPI number 1568700128 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.