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FUNCTIONAL MEDICINE CENTER OF BOISE LLC
NPI 1710477310
Clinic/Center - Primary Care in Nampa, ID

Active since May 18, 2018

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2018, May 18, 2018 (2 updates tracked since 2018).

About Functional Medicine Center Of Boise Llc NPPES

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

FUNCTIONAL MEDICINE CENTER OF BOISE LLC (NPI 1710477310) is a healthcare organization registered as a primary care in Nampa, Idaho and active in the NPI registry since May 2018. The organization lists Spencer Zimmerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1710477310
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFUNCTIONAL MEDICINE CENTER OF BOISE LLC
Location Address232 2ND ST SNampa, ID 83651
Mailing Address232 2nd St SNampa, ID 83651-3709
Phone(801) 623-9877
Organization SubpartNo
Authorized OfficialSpencer ZimmermanOwner · (801) 623-9877
Enumeration DateMay 18, 2018
Last NPPES UpdateJuly 12, 20182 updates tracked since enumeration
✔ NPI 1710477310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
232 2ND ST S, Nampa, ID 83651
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Other Providers at the Same Location NPPES 10

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

FIRST CARE MEDICAL OF IDAHO, LLC
General Practice
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 461-6523
NATHAN DEE OLSEN D.C.
Chiropractor
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 461-6523
PERSONAL DEVELOPMENT
Community/Behavioral Health
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 453-8915
MADELENA LARUE
Massage Therapist
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 461-6523
JACQUELINE TAYLOR LMSW
Social Worker (Clinical)
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 453-8915
MR. JOHN OWEN ROICE LPC
Counselor
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 453-8915
ROBERT NEWMAN
Counselor (Mental Health)
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 453-8915
MR. KARL BAUMGARTNER LMSW
Social Worker
232 2ND ST S
NAMPA, ID 83651
Canyon County (208) 453-8915

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 Center Of Boise LLC's NPI number?

The NPI number for Functional Medicine Center Of Boise LLC is 1710477310. It was assigned to this organization in the NPPES registry on May 18, 2018.

Where is Functional Medicine Center Of Boise LLC located?

Functional Medicine Center Of Boise LLC is located at 232 2nd St S, Nampa, ID 83651. The listed phone number is (801) 623-9877.

What is Functional Medicine Center Of Boise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Functional Medicine Center Of Boise LLC was last updated on July 12, 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.