NPI age
6 years
Enumerated 2019-10-18
● Active Type 2 · Organization
Pure Healthcare Of Idaho Llc
Pure Healthcare Of Idaho Llc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
6
5 secondary on file
Status
Active
No deactivations on record
Authorized official
Fraga
Contracting Manager
Last NPPES update
2025-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
6 years
≈ at median (7 yr)
Practice locations
6
5 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
5975 W Overland Rd
Boise, ID 837093012
Mailing address
4179 S Riverboat Rd Ste 220
Taylorsville, UT 841232986
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
1411 Falls Ave E Ste 1151a
Twin Falls, ID 833013455
Location 3
1750 W McMillan Rd Ste 120
Meridian, ID 836466891
Location 4
11118 Moss Ln
Nampa, ID 836518015
Location 5
916 W Ironwood Dr Ste Ul1
Coeur D Alene, ID 838142642
Location 6
3423 Merlin Dr
Idaho Falls, ID 834047430
Authorized official
Rachel Fraga
Contracting Manager
📞 8019216325
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Travis Frogley, FNP-C Nurse Practitioner NPI 1518508928
- Luke Mayes, DC Chiropractor NPI 1093883639
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 5 secondary practice locations.
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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.