Boise Vamc
Organization Active NPI VA Clinic/Center · Caldwell, ID
NPI 1124152921 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1124152921
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- BOISE VAMC
- Practice address
- 713 Haystack Way
Caldwell, ID 83605-6981 - Phone
- (702) 341-3164
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Boise Vamc
Locations
713 Haystack Way
Caldwell, ID 83605
Phone (208) 454-4820
4521 Thomas Jefferson St
Caldwell, ID 83605
Phone (208) 454-4820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
713 Haystack Way
Caldwell, ID 83605-6981
Mailing address
PO Box 94402
Cleveland, OH 44101-4402
Phone (702) 341-3164
Other names
- Caldwell VA Clinic
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.