Boise House Calls, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

NP 289 Issued in ID

Legal business name

BOISE HOUSE CALLS, LLC

Practice address

303 Elk Creek Road
Suite Box 88
Idaho City, ID 83631

Phone

(208) 848-6703

Fax

(208) 392-4128

NPI assigned

Aug 31, 2016

Organization subpart

No

Name

Lynda Joanne Maricle-Kuwahara, APRN-C

Title

Owner

Phone

(208) 484-6703

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2016.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1154877918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ELK CREEK ROAD",
            "address_2": "PO BOX 88",
            "city": "IDAHO CITY",
            "state": "ID",
            "postal_code": "83631",
            "telephone_number": "208-484-6703",
            "fax_number": "208-392-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ELK CREEK ROAD",
            "address_2": "SUITE BOX 88",
            "city": "IDAHO CITY",
            "state": "ID",
            "postal_code": "83631",
            "telephone_number": "208-848-6703",
            "fax_number": "208-392-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE HOUSE CALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "MARICLE-KUWAHARA",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-484-6703",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "NP 289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804161900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Idaho City, ID
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.