1134905243 BOISE STATE UNIVERSITY

Community Health Clinic/Center

Active

Basic Information

Organization Name
BOISE STATE UNIVERSITY
Enumeration Date
September 5, 2023
Last Update
August 29, 2024
Authorized Official
DR. STEPHANIE HUDON PHD
CLINICAL PROGRAM DIRECTOR
Phone: (208) 995-3765

Practice Location

Address
2100 UNIVERSITY DR STE 107
BOISE, ID 837250001
Phone
(208) 426-1523
Fax
(208) 426-2302

Mailing Address

Address
1910 UNIVERSITY DR
# MS 1855
BOISE, ID 83725
Phone
(208) 426-1523
Fax
(208) 426-2302

Specialties & Taxonomies

Specialty Code Classification License State Primary
Family Medicine Physician
207Q00000X Family Medicine N/A N/A No
Public Health & General Preventive Medicine Physician
Public Health & General Preventive Medicine
2083P0901X Preventive Medicine N/A N/A No
Public Health or Welfare Agency
251K00000X Public Health or Welfare N/A N/A No
Community Health Clinic/Center
Community Health
261QC1500X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1134905243 05 ID N/A

Frequently Asked Questions

What is BOISE STATE UNIVERSITY's NPI number?
BOISE STATE UNIVERSITY's NPI number is 1134905243.
Which doctor has NPI number 1134905243?
The doctor with NPI number 1134905243 is BOISE STATE UNIVERSITY.
What is BOISE STATE UNIVERSITY's practice address?
BOISE STATE UNIVERSITY's practice address is 2100 UNIVERSITY DR STE 107, BOISE, ID, 837250001.
Which doctor practices at 2100 UNIVERSITY DR STE 107, BOISE, ID, 837250001?
BOISE STATE UNIVERSITY practices at 2100 UNIVERSITY DR STE 107, BOISE, ID, 837250001.
What is BOISE STATE UNIVERSITY's mailing address?
BOISE STATE UNIVERSITY's mailing address is 1910 UNIVERSITY DR, # MS 1855, BOISE, ID, 83725.
What is BOISE STATE UNIVERSITY's phone number?
BOISE STATE UNIVERSITY's phone number is (208) 426-1523.
Who is (208) 426-1523?
(208) 426-1523 is the phone number for BOISE STATE UNIVERSITY.
What is BOISE STATE UNIVERSITY's specialty?
BOISE STATE UNIVERSITY's specialty is Community Health Clinic/Center.
What type of doctor is BOISE STATE UNIVERSITY?
BOISE STATE UNIVERSITY is a Community Health Clinic/Center.
Is BOISE STATE UNIVERSITY a Community Health?
Yes, BOISE STATE UNIVERSITY is a Community Health.
Is BOISE STATE UNIVERSITY still practicing?
Yes, BOISE STATE UNIVERSITY is currently practicing.
Is BOISE STATE UNIVERSITY accepting new patients?
BOISE STATE UNIVERSITY may be accepting new patients. Please call their office at (208) 426-1523 to inquire about availability.
Is NPI 1134905243 still active?
Yes, NPI 1134905243 is currently active.
Where does BOISE STATE UNIVERSITY practice?
BOISE STATE UNIVERSITY practices in BOISE, ID.