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PAIN CARE CLINIC OF IDAHO, P.C.
NPI 1982093357
Clinic/Center - Pain in Eagle, ID

Active since January 22, 2015
742 E STATE ST, SUITE 150, EAGLE, ID 83616(208) 939-3750(208) 939-3754 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pain Care Clinic Of Idaho, P.c. NPPES

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

PAIN CARE CLINIC OF IDAHO, P.C. (NPI 1982093357) is a healthcare organization registered as a pain in Eagle, Idaho and active in the NPI registry since January 2015. The organization lists Edmund C Boese, Owner, as its authorized official.

NPPES Registry Identity

NPI1982093357
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePAIN CARE CLINIC OF IDAHO, P.C.
Location Address742 E STATE ST, SUITE 150Eagle, ID 83616-5941
Mailing Address742 E State St, Siuite 150Eagle, ID 83616-5941 · (208) 939-3750 · Fax (208) 939-3754
Phone(208) 939-3750
Fax(208) 939-3754
Organization SubpartNo
Authorized OfficialEdmund C BoeseOwner · (208) 939-3750
Enumeration DateJanuary 22, 2015
✔ NPI 1982093357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in ID · M12565
742 E STATE ST, Eagle, ID 83616
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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 Pain Care Clinic Of Idaho, P.C.'s NPI number?

The NPI number for Pain Care Clinic Of Idaho, P.C. is 1982093357. It was assigned to this organization in the NPPES registry on January 22, 2015.

Where is Pain Care Clinic Of Idaho, P.C. located?

Pain Care Clinic Of Idaho, P.C. is located at 742 E State St Suite 150, Eagle, ID 83616. The listed phone number is (208) 939-3750.

What is Pain Care Clinic Of Idaho, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Pain Care Clinic Of Idaho, P.C. was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.