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DIGESTIVE HEALTH CLINIC LLC
NPI 1750498333
Internal Medicine - Gastroenterology in Boise, ID

Active since August 23, 2006CLIA 13D0521878 · Certificate of Compliance
6259 W EMERALD ST, BOISE, ID 83704(208) 489-1900(208) 375-5286 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Digestive Health Clinic Llc NPPES

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

DIGESTIVE HEALTH CLINIC LLC (NPI 1750498333) is a healthcare organization registered as a gastroenterology in Boise, Idaho and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 3, 2027 and lists Mark A Mallory, Manager, as its authorized official.

NPPES Registry Identity

NPI1750498333
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE HEALTH CLINIC LLC
Location Address6259 W EMERALD STBoise, ID 83704-8731
Mailing Address6259 W Emerald StBoise, ID 83704-8731 · (208) 489-1900 · Fax (208) 375-5286
Phone(208) 489-1900
Fax(208) 375-5286
Organization SubpartNo
Authorized OfficialMark A MalloryManager · (208) 489-1900
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 24, 2020
NPPES CertifiedJuly 24, 2020
✔ NPI 1750498333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6259 W EMERALD ST, Boise, ID 83704
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Other Identifiers 1

Medicaid807631700ID

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 MULTIPLE 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 Compliance 13D0521878

Digestive Health Clinic LLC · Boise, ID
Active · expires Jan 3, 2027
CLIA Number13D0521878
Laboratory TypeIndependent
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorSpencer R. Paulson
Laboratory Phone(208) 489-1898
Laboratory LocationDigestive Health Clinic LLC6259 W Emerald St, Boise, ID 83704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DR. NANCY JANE L'HEUREUX DNP
Nurse Practitioner (Family)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. CHRISTOPHER J GOULET M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
BOISE GASTROENTEROLOGY ASSOCIATES
Clinic/Center (Ambulatory Surgical)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
WENDI LEBRETT
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. STEPHEN M SCHUTZ M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. IKE D TANABE M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
BOISE GASTROENTEROLOGY ASSOCIATES
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900
DR. NIC R CORDUM M.D.
Internal Medicine (Gastroenterology)
6259 W EMERALD ST
BOISE, ID 83704
Ada County (208) 489-1900

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 Digestive Health Clinic LLC's NPI number?

The NPI number for Digestive Health Clinic LLC is 1750498333. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Digestive Health Clinic LLC located?

Digestive Health Clinic LLC is located at 6259 W Emerald St, Boise, ID 83704. The listed phone number is (208) 489-1900.

What is Digestive Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Digestive Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0521878) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Digestive Health Clinic LLC accept?

Health plans from Moda Health Plan, Inc. list Digestive Health Clinic 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 Digestive Health Clinic LLC was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.