NPI age
19 years
Enumerated 2007-02-05
● Active Type 2 · Organization
Idaho Center For Reproductive Medicine Pc
Idaho Center For Reproductive Medicine Pc is 1 of 4 obstetrics & gynecology organizations in Idaho.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andrews
Bus Admin
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 4 active obstetrics & gynecology providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
111 Main St, Suite 100
Boise, ID 837027307
Mailing address
111 Main St, Suite 100
Boise, ID 837027307
Authorized official
Genie T Andrews
Bus Admin
📞 2083425900
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cristin Slater, MD Obstetrics & Gynecology NPI 1013014745
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8G189 | BLUE CROSS CLINIC |
| 01 (ID) | 513CO | BLUE CROSS DR FOULK |
| 01 (ID) | 51292 | BLUE CROSS DR SLATER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ICRM PC
Practice context
Multi-provider organization. 1 individual provider 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 →
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