NPI age
11 years
Enumerated 2014-07-21
● Active Type 2 · Organization
Boise Vamc
Boise Vamc is 1 of 14 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Potter
Npi Team Member
Last NPPES update
2017-10-31
Source: monthly bulk 2026-05
How this organization compares
Across 14 active clinic/center providers in Idaho.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
815 N 6th E
Mountain Home, ID 836472207
Mailing address
Po Box 94402
Cleveland, OH 441014402
Authorized official
Erin Potter
Npi Team Member
📞 2023822579
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Gail Adams, DMD Dentist NPI 1710191838
- Belinda Childers, BSN, RN, CCRN, MA Registered Nurse NPI 1528789153
- Anna Garvin, RN Registered Nurse NPI 1174149264
- Robert Hall, DDS Dentist NPI 1851503056
- Randi Ortega, LPN Licensed Practical Nurse NPI 1679191241
- Katie Owens Registered Nurse NPI 1811694995
- Nicole Real Licensed Practical Nurse NPI 1508567694
- Kenneth Stevens, DDS Dentist NPI 1114131315
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
MOUNTAIN HOME VA CLINIC
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.