NPI age
4 years
Enumerated 2021-12-03
● Active Type 2 · Organization
Subpart
Boise Endoscopy Center, Llc
Boise Endoscopy Center, Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Butterfield
Credentialing Manager
Last NPPES update
2023-06-29
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1216 Garrity Blvd
Nampa, ID 836873402
Mailing address
2235 E Gala St
Meridian, ID 836428026
Authorized official
Rebecca Butterfield
Credentialing Manager
📞 2084891431
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Kirsten Morigeau, MD Internal Medicine NPI 1811123961
- Bonnie Kim Waite, M.D., CHARTERED Internal Medicine NPI 1770578759
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Canyon County Endoscopy Center
-
Canyon County Endoscopy Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Boise Endoscopy Center, Llc.
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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.