FAMILY CARE CLINIC (NPI# 1770817413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770817413 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CLINIC |
| Practice Address |
8050 W Rifleman St Ste 100 Boise ID 83704-9000 |
| Practice Telephone | 2083210634 |
| Practice Fax Number | 2083211082 |
| Mailing Telephone | 2083210634 |
| Mailing Fax Number | 2083211082 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | LAURIE MILLER (OFFICE MANAGER) |
| Authorized Official Telephone | 2083210634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002803300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355807 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave Ste 102, Sterling, CO 80751-4560 | 2015-05-08 |
| 1255738001 | Family Care Clinic | Clinic/Center | 102 Hays Ave, Sterling, CO 80751-2866 | 2014-11-21 |
| 1215172101 | Family Care Clinic | Clinic/Center | 302 Bay Avenue, Richton, MS 39476-1650 | 2008-12-08 |
| 1902118011 | Family Care Clinic | Clinic/Center | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2010-07-06 |
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1871742346 | Family Care Clinic | Clinic/Center | 645 Osage St, Sidney, NE 69162-1714 | 2008-09-09 |
| 1487801544 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 101, Sterling, CO 80751-4563 | 2008-08-20 |
| 1437306677 | Family Care Clinic | Clinic/Center | 1405 S 8th Ave, Suite 105, Sterling, CO 80751-4563 | 2008-08-19 |
| 1114199353 | Family Care Clinic | Internal Medicine | 4506 Briarwood Ave, Midland, TX 79707-2642 | 2008-03-27 |
| 1265469514 | Family Care Clinic | Clinic/Center | 615 Fairhurst St, Sterling, CO 80751-4523 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FAMILY CARE CLINIC | 1730 Se 96th Avenue, Portland, OR 97216 |
| System for Award Management (SAM) Entities | FAMILY CARE CLINIC OF HENRYETTA | 2401 W Main St, Henryetta, OK 74437-3893 |
| Street Address |
8050 W RIFLEMAN ST STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871627141 | All Horizons, Inc. | Community/Behavioral Health | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2007-03-16 |
| 1407269483 | David Buch | Counselor | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2014-06-06 |
| 1639502982 | Daniel Park | Social Worker | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2013-08-09 |
| 1811329592 | Family Care Clinic, LLC | Clinic/Center | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2013-08-05 |
| 1568700128 | Family Care Clinic LLC | Clinic/Center | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2013-01-16 |
| 1720339427 | Drey Van Campbell | Counselor | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2012-09-21 |
| 1366747172 | All Seasons Mental Health | Community/Behavioral Health | 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 | 2011-01-26 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790269389 | Erin Michelle Love Mcdermott | Family Medicine | 2402 W Jefferson St, Boise, ID 83702-4811 | 2018-09-19 |
| 1336656040 | Functional Medicine of Idaho PC | Family Medicine | 3858 N Garden Center Way Ste 100, Boise, ID 83703-5008 | 2018-01-03 |
| 1922456870 | Daniel Luftig | Family Medicine | 1041 S Dale St Apt 302, Boise, ID 83706-7641 | 2016-06-01 |
| 1942676598 | Robert F. Smith, Md, Pllc | Family Medicine | 320 N Collins Rd, Boise, ID 83702-4519 | 2015-08-18 |
| 1861827222 | Treasure Valley Neuropathy Relief Center PC | Family Medicine | 1755 N Westgate Dr, Suite 200, Boise, ID 83704-7174 | 2013-09-04 |
| 1205272986 | Shahla Walizada | Family Medicine | 2141 E Parkcenter Blvd, Samg Bhp Family Medicine, Boise, ID 83706 | 2013-05-21 |
| 1891057246 | Kara Mackenzie Kuntz | Family Medicine | 5966 W Curtisian Road, Boise, ID 83704 | 2012-06-12 |
| 1922366707 | Cottonwood Family Medicine | Family Medicine | 100 Cottonwood Court, Suite 150, Boise, ID 87616 | 2012-04-30 |
| 1720377476 | Steven Schneider | Family Medicine | 3775 W Quail Hollow Dr, Boise, ID 83703-3869 | 2011-04-04 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| Find all providers in BOISE | ||||
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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.