1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Family Medicine
  6. NPI Profile

MOUNTAIN STATES MEDICAL GROUP PA
NPI 1730272006
Family Medicine in Boise, ID

Active since October 01, 2006
4809 FAIRVIEW AVENUE, BOISE, ID 83706(208) 378-2840(208) 323-9070 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountain States Medical Group Pa NPPES

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

MOUNTAIN STATES MEDICAL GROUP PA (NPI 1730272006) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since October 2006. The organization lists Richard Mcchrystal, President, as its authorized official.

NPPES Registry Identity

NPI1730272006
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAIN STATES MEDICAL GROUP PA
Location Address4809 FAIRVIEW AVENUEBoise, ID 83706-2242
Mailing AddressPo Box 4236Boise, ID 83711-4236 · (208) 378-2840 · Fax (208) 323-9070
Phone(208) 378-2840
Fax(208) 323-9070
Organization SubpartNo
Authorized OfficialRichard McchrystalPresident · (208) 378-2840
Enumeration DateOctober 1, 2006
Last NPPES UpdateSeptember 15, 2008
✔ NPI 1730272006 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.

4809 FAIRVIEW AVENUE, Boise, ID 83706
Open in Google Maps ↗

Other Identifiers 4

Other8C196ID · Blue Cross
Other000010017966ID · Rbsi
Medicare ID-Type Unspecified1376073ID · Medicare
Medicare NSC4930450001ID

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

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 Mountain States Medical Group PA's NPI number?

The NPI number for Mountain States Medical Group PA is 1730272006. It was assigned to this organization in the NPPES registry on October 1, 2006.

Where is Mountain States Medical Group PA located?

Mountain States Medical Group PA is located at 4809 Fairview Avenue, Boise, ID 83706. The listed phone number is (208) 378-2840.

What is Mountain States Medical Group PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Mountain States Medical Group PA was last updated on September 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.