NPI age
18 years
Enumerated 2008-05-15
● Active Type 2 · Organization
Oasis Medical Center Llc
Oasis Medical Center Llc is 1 of 41 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McMullin
Administrator
Last NPPES update
2008-05-15
Source: monthly bulk 2026-05
How this organization compares
Across 41 active clinic/center providers in Idaho.
NPI age
18 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 48% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
9000 W Duck Lake Dr
Boise, ID 837141834
Mailing address
3217 W Bavaria St
Eagle, ID 83616
Authorized official
Jesse McMullin, RT, DS
Administrator
📞 2082866676
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
Clinic/CenterDefinition to come...
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.