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ID DEPT OF HEALTH & WELFARE CSHP (PKU FORM)
NPI 1871716118
Durable Medical Equipment & Medical Supplies in Boise, ID

Active since April 11, 2007
450 W STATE ST, 4TH FLOOR, BOISE, ID 83702(208) 334-4935(208) 332-7307 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Id Dept Of Health & Welfare Cshp (pku Form) NPPES

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

ID DEPT OF HEALTH & WELFARE CSHP (PKU FORM) (NPI 1871716118) is a healthcare organization registered as a durable medical equipment & medical supplies in Boise, Idaho and active in the NPI registry since April 2007. The organization lists Paige Fincher, Acting Program Manager, as its authorized official.

NPPES Registry Identity

NPI1871716118
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameID DEPT OF HEALTH & WELFARE CSHP (PKU FORM)
Location Address450 W STATE ST, 4TH FLOORBoise, ID 83702-6056
Mailing AddressPo Box 83720, 4th FloorBoise, ID 83720-0036 · (208) 334-4935 · Fax (208) 332-7307
Phone(208) 334-4935
Fax(208) 332-7307
Organization SubpartNo
Authorized OfficialPaige FincherActing Program Manager · (208) 334-4935
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871716118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
450 W STATE ST, Boise, ID 83702
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Other Identifiers 3

Medicaid0028484ID
Other000010022948ID · Blue Shield
OtherHW207ID · Blue Cross Of Id

Other Providers at the Same Location NPPES 9

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

DR. CHRISTINE GABRIELE HAHN M.D.
Internal Medicine (Infectious Disease)
450 W STATE ST, 4TH FLOOR
BOISE, ID 83702
Ada County (208) 334-5939
BEN H. GODFREY MD
Pediatrics
450 W STATE ST, SUITE 100
BOISE, ID 83702
Ada County (208) 939-1035
ID DEPT OF HEALTH & WELFARE CSHP (GEN)
Pediatrics
450 W STATE ST, 4TH FLOOR
BOISE, ID 83702
Ada County (208) 334-4935
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Community/Behavioral Health
450 W STATE ST
BOISE, ID 83702
Ada County (208) 475-2342
MISS TERESA BERNADETTE KOBZA RD LD
Dietitian, Registered
450 W STATE ST
BOISE, ID 83702
Ada County (208) 334-5952
IDAHO DIVISION OF BEHAVIORAL HEALTH
Community/Behavioral Health
450 W STATE ST
BOISE, ID 83702
Ada County (208) 334-6997
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Community/Behavioral Health
450 W STATE ST
BOISE, ID 83702
Ada County (208) 475-2342
MINDY B. GADDIS MD
Pediatrics
450 W STATE ST, SUITE 100
BOISE, ID 83702
Ada County (208) 939-1035

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 Id Dept Of Health & Welfare Cshp (pku Form)'s NPI number?

The NPI number for Id Dept Of Health & Welfare Cshp (pku Form) is 1871716118. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Id Dept Of Health & Welfare Cshp (pku Form) located?

Id Dept Of Health & Welfare Cshp (pku Form) is located at 450 W State St 4th Floor, Boise, ID 83702. The listed phone number is (208) 334-4935.

What is Id Dept Of Health & Welfare Cshp (pku Form)'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Id Dept Of Health & Welfare Cshp (pku Form) was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.