Boise Memorial Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BOISE MEMORIAL HOSPICE LLC

Doing business as

Boise Memorial Hospice

Practice address

600 E State St
Suite 300
Eagle, ID 83616-6081

Phone

(208) 938-4100

Fax

(208) 938-4564

NPI assigned

May 24, 2005

Last updated

May 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Kay Campbell

Title

Owner/Director

Phone

(208) 938-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boise Memorial Hospice Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1144223900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E STATE ST",
            "address_2": "SUITE 300",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166081",
            "telephone_number": "208-938-4100",
            "fax_number": "208-938-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STATE ST",
            "address_2": "SUITE 300",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166081",
            "telephone_number": "208-938-4100",
            "fax_number": "208-938-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE MEMORIAL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "208-938-4100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804269500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Memorial Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine E Birch, PA-C
• Vanessa Irene Bizimana, NP
• William Blair, LCSW
• Krissy Blandford, MSP
• Kaila Pomaika'I Boeck
• Boise River Birth Center and Womens Health
• Boise Shoulder Clinic, PA (Humphrey Shoulder Clinic)
• Allison Andrews Boldridge, P.T.
• Nicholas Bonfrisco
• Cody Johanna Bonine, FNP

• Community Based Hospice Care Agency in Eagle, ID
• Providers in Eagle, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.