Boise State University Public Health Clinic | |
2100 University Dr Ste 107 Boise ID 83725-0001 | |
(208) 426-1523 | |
(208) 426-2302 |
Full Name | Boise State University Public Health Clinic |
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Speciality | Clinic/center - Community Health |
Location | 2100 University Dr Ste 107, Boise, Idaho |
Authorized Official Name and Position | Stephanie Hudon (CLINICAL PROGRAM DIRECTOR) |
Authorized Official Contact | 2089953765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boise State University Public Health Clinic 1910 University Dr # Ms 1855 Boise ID 83725 Ph: (208) 426-1523 | Boise State University Public Health Clinic 2100 University Dr Ste 107 Boise ID 83725-0001 Ph: (208) 426-1523 |
NPI Number | 1134905243 |
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Provider Enumeration Date | 09/05/2023 |
Last Update Date | 08/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134905243 | NPI | - | NPPES |
1134905243 | Medicaid | ID |
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