NPI age
19 years
Enumerated 2007-04-11
● Active Type 2 · Organization
Id Dept Of Health & Welfare Cshp (pku Form)
Id Dept Of Health & Welfare Cshp (pku Form) is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fincher
Acting Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
450 W State St, 4th Floor
Boise, ID 837026056
Mailing address
Po Box 83720, 4th Floor
Boise, ID 837200036
Authorized official
Paige Fincher, BSW
Acting Program Manager
📞 2083344935
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Mindy Gaddis, MD Pediatrics NPI 1770532350
- Ben Godfrey, MD Pediatrics NPI 1194773804
- Christine Hahn, M.D. Internal Medicine NPI 1174781959
- Teresa Kobza, RD LD Dietitian, Registered NPI 1710269832
- Wendy Seagraves, LCSW Social Worker NPI 1790117273
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0028484 | |
| 01 (ID) | 000010022948 | BLUE SHIELD |
| 01 (ID) | HW207 | BLUE CROSS OF ID |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 264 Durable Medical Equipment & Medical Supplies 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
- 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.