| Boise State University | |
|
1529 Belmont St Boise ID 83725-1351 | |
| (208) 426-1459 | |
| (208) 426-3005 |
| Full Name | Boise State University |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1529 Belmont St, Boise, Idaho |
| Authorized Official Name and Position | Rochelle Wolfe (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2084261470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise State University 1910 University Dr # Ms -1351 Boise ID 83725-1351 Ph: (208) 426-2158 | Boise State University 1529 Belmont St Boise ID 83725-1351 Ph: (208) 426-1459 |
| NPI Number | 1194865444 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194865444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | M-7056 (Idaho) | Primary |
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