NPIMap

Organization Active NPI

Id Dept of Health & Welfare CSHP (Gen)

  • Pediatrics Physician
  • Boise, ID
National Provider Identifier
1275655995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ID DEPT OF HEALTH & WELFARE CSHP (GEN)
Practice address
450 W State St
4TH Floor
Boise, ID 83702-6056
Phone
(208) 334-4935
Fax
(208) 332-7307
NPI assigned
Apr 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paige Fincher, BSW
Title
Acting Program Manager
Phone
(208) 334-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

450 W State St
4TH Floor
Boise, ID 83702-6056

Mailing address

PO Box 83720
4TH Floor
Boise, ID 83720-0036
Phone (208) 334-4935

Other identifiers 3

IdentifierTypeStateIssuer
0028234MedicaidID
HW207OtherIDBLUE CROSS OF ID
000010022948OtherIDBLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Idaho Dept of Health Welfare Reg II Amh Grangeville114 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275655995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83720",
            "address_2": "4TH FLOOR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837200036",
            "telephone_number": "208-334-4935",
            "fax_number": "208-332-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "address_2": "4TH FLOOR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026056",
            "telephone_number": "208-334-4935",
            "fax_number": "208-332-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID DEPT OF HEALTH & WELFARE CSHP (GEN)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINCHER",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "ACTING PROGRAM MANAGER",
        "authorized_official_telephone_number": "208-334-4935",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028234",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "HW207",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010022948",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.