NPI age
2 years
Enumerated 2023-09-05
● Active Type 2 · Organization
Boise State University
Boise State University is 1 of 5 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hudon
Clinical Program Director
Last NPPES update
2024-08-29
Source: monthly bulk 2026-05
How this organization compares
Across 5 active clinic/center providers in Idaho.
NPI age
2 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 20% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
2100 University Dr Ste 107
Boise, ID 837250001
Mailing address
1910 University Dr, # MS 1855
Boise, ID 83725
Authorized official
Stephanie Hudon, PHD
Clinical Program Director
📞 2089953765
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Preventive MedicinePublic health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
-
Public Health or WelfareDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1134905243 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Boise State University Public Health Clinic
-
Boise State University Public Health Clinic
Practice context
Single-site organization. Only one practice location on file.
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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.