NPI age
19 years
Enumerated 2006-06-06
● 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
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
260 2nd Ave E, Suite 12
Twin Falls, ID 833016242
Mailing address
Po Box 94402
Cleveland, OH 441014402
Authorized official
Erin Potter
Npi Team Member
📞 2023822579
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Arlena Blick, RN Registered Nurse NPI 1457976540
- Heather Fivecoat, LPN Licensed Practical Nurse NPI 1588385181
- Virginia Gambrel Licensed Practical Nurse NPI 1538540695
- Nestor Hapayan, RN Registered Nurse NPI 1649888710
- Larry Hazen, LCSW Social Worker NPI 1033121520
- Jacob Hernandez, LPN Licensed Practical Nurse NPI 1427779057
- Karen Jennings Registered Nurse NPI 1255956686
- Jana Juker, LPN Licensed Practical Nurse NPI 1770108631
- Faye Lewis, LPN Licensed Practical Nurse NPI 1891310728
- Mary Mavencamp, LPN Licensed Practical Nurse NPI 1033734470
- Shannon Owen, RN Registered Nurse NPI 1407578057
- Amber Somers, LPN Licensed Practical Nurse NPI 1184346678
- Jason Taylor, NP-C Nurse Practitioner NPI 1306191366
- Alex Tubbs, LCSW Social Worker NPI 1063424943
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Twin Falls VA Clinic
Practice context
Multi-provider organization. 14 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.