P Praxis·MD
● Active Type 2 · Organization

Idaho Dept Of Health & Welfare Amh Psr Boise

Clinic/Center·Boise, ID· NPI 1205966157 · Enumerated 2007 · 19 years on NPI
Idaho Dept Of Health & Welfare Amh Psr Boise is 1 of 326 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-07
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Westcott
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1720 Westgate Dr, Suite B-1
Boise, ID 837047164
📞 2083340894fax 2083340804
Mailing address
1720 Westgate Dr, Suite B-1
Boise, ID 837047164
📞 2083340894fax 2083340804

Authorized official

Gina Westcott, M.A.
Program Manager
📞 2083340969

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Identifiers

TypeValueNotes
01 000010018973 BLUE SHIELD
01 HW280 BLUE CROSS OF IDAHO
05 (ID) 0024207

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 326 Clinic/Center providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related