PUBLIC HEALTH DISTRICT IV (NPI# 1326009648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326009648 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH DISTRICT IV |
| Other Organization Name | CENTRAL DISTRICT HEALTH DEPT. |
| Practice Address |
707 N Armstrong Pl Boise ID 83704-0825 |
| Practice Telephone | 2083755211 |
| Practice Fax Number | 2083278500 |
| Mailing Telephone | 2083755211 |
| Mailing Fax Number | 2083278500 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | GINA PANNELL (PROJECT MANAGER) |
| Authorized Official Telephone | 2083278524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 251K00000X | Public Health or Welfare | N/A PUBLIC HEALT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD OF ID | 000010007076 | 01 |
| ID | 806919800 | 05 | |
| ID | 002469700 | 05 | |
| ID | 806152200 | 05 | |
| ID | 002469200 | 05 | |
| ID | 002469400 | 05 | |
| ID | 002831400 | 05 | |
| ID | 805808800 | 05 | |
| ID | BLUE CROSS OF IDAHO | DH041 | 01 |
| Other Name | Type Code |
|---|---|
| Central District Health Department | Doing Business As Name - Organization |
| Central District Health Dept. | Doing Business As Name - Organization |
| Street Address |
707 N ARMSTRONG PL |
| City | BOISE |
| State | ID |
| Zip Code | 83704-0825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656782 | Ryan Atwood | Family Medicine | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2019-12-12 |
| 1669997797 | Jamie Rae Larsen | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2017-08-09 |
| 1902267842 | Eileen Ursillo | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2016-03-18 |
| 1831557438 | Summer Eldredge | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2016-02-10 |
| 1396162905 | Jana Duncan | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2014-03-20 |
| 1801174966 | Laura Ruth Szymanski | Physician Assistant | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2011-07-23 |
| 1144527607 | Toni Carles | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2011-02-18 |
| 1558664755 | Marjorie Conrad Rich | Dietitian, Registered | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2010-12-09 |
| 1548576234 | Angela Kay Spain | Dietitian, Registered | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2010-08-19 |
| 1265682744 | Katie Lynn Keenan | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2008-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426104 | Eastern Idaho Public Health District | Public Health or Welfare | 1250 Hollipark Dr, Idaho Falls, ID 83401-6217 | 2006-09-14 |
| 1841212933 | Public Health District 1 | Public Health or Welfare | 114 W Riverside Ave, Kellogg, ID 83837-2351 | 2006-07-24 |
| 1639116627 | Counseling Center of Southeast Idaho | Public Health or Welfare | 496 A St, Idaho Falls, ID 83402-3617 | 2006-05-31 |
| 1598763849 | Power County Hospital District | Public Health or Welfare | 502 Tyhee Ave, American Falls, ID 83211-1224 | 2005-07-11 |
| 1992239172 | Power County Hospital District | Public Health or Welfare | 50 South Main St, Aberdeen, ID 83210 | 2017-04-14 |
| 1588038616 | Carmen Hernandez Radford | Public Health or Welfare | 3652 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2015-12-01 |
| 1760729206 | Southwest District Health | Public Health or Welfare | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-01-03 |
| 1023250966 | Southeastern District Health Department | Public Health or Welfare | 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 | 2009-03-24 |
| 1215177993 | North Central District Health Department | Public Health or Welfare | 215 10th St, Lewiston, ID 83501-1910 | 2009-02-20 |
| 1750526216 | Southeastern District Health Department | Public Health or Welfare | 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 | 2008-12-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.