NPIMap

Organization Active NPI

Public Health District IV

  • Public Health or Welfare Agency
  • Boise, ID
National Provider Identifier
1326009648
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
N/A PUBLIC HEALTH AG
Legal business name
PUBLIC HEALTH DISTRICT IV
Practice address
707 N Armstrong PL
Boise, ID 83704-0825
Phone
(208) 375-5211
Fax
(208) 327-8500
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Sarah McMurtry
Title
Clinic Manager
Phone
(208) 327-7400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Public Health or Welfare Agency 251K00000X N/A PUBLIC HEALTH AG Primary

Addresses

Primary practice location

707 N Armstrong PL
Boise, ID 83704-0825

Mailing address

707 N Armstrong PL
Boise, ID 83704-0825
Phone (208) 375-5211

Other identifiers 9

IdentifierTypeStateIssuer
805808800MedicaidID
002469400MedicaidID
002831400MedicaidID
806152200MedicaidID
DH041OtherIDBLUE CROSS OF IDAHO
000010007076OtherIDREGENCE BLUE SHIELD OF ID
002469200MedicaidID
002469700MedicaidID
806919800MedicaidID

Other names 2

  • Central District Health Department Doing business as
  • Central District Health Dept. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181113000413 ID Part B Supplier - Clinic/Group Practice 3274887179 Receives reassigned benefits from 4 practitioners
Practice locations: Boise, ID; McCall, ID; Mountain Home, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0521914Central District Health Dept707 N Armstrong LN, Boise, ID 83704Provider-performed microscopyDec 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bear Lake County Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 N Armstrong Pl
Boise, ID 83704
Phone (208) 327-7400

520 E 8th N
Mountain Home, ID 83647
Phone (208) 587-4407

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1326009648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040825",
            "telephone_number": "208-375-5211",
            "fax_number": "208-327-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040825",
            "telephone_number": "208-375-5211",
            "fax_number": "208-327-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH DISTRICT IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "MCMURTRY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "208-327-7400"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": "N/A PUBLIC HEALTH AG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805808800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002469400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002831400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806152200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DH041",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010007076",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002469200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002469700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806919800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central District Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central District Health Dept.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central District Health Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.