Active NPI
Boise VA Medical Center
- Registered Nurse
- Boise, ID
National Provider Identifier
1588578439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- BOISE VA MEDICAL CENTER
- Practice address
- 500 W Fort St
Boise, ID 83702-4501 - Phone
- (208) 422-1000
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- Yes
- Parent organization
- VETERANS ADMINISTRATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debora Beaver, RN
- Title
- Care Manager20
- Phone
- (208) 422-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NU | Primary |
Addresses
Primary practice location
500 W Fort St
Boise, ID 83702-4501
Mailing address
500 W Fort St
Boise, ID 83702-4501
Phone (208) 422-1000
Care Compare: Hospital
Medicare Care Compare- Listed as
- Boise VA Medical Center
- Overall star rating
- Type
- Acute Care - Veterans Administration
- Ownership
- Veterans Health Administration
- Medicare certification status
- Active
- Emergency services
- Yes
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1588578439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W FORT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837024501",
"telephone_number": "208-422-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W FORT ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837024501",
"telephone_number": "208-422-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOISE VA MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VETERANS ADMINISTRATION",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "BEAVER",
"authorized_official_first_name": "DEBORA",
"authorized_official_title_or_position": "CARE MANAGER20",
"authorized_official_telephone_number": "208-422-1000",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
- Boise Toothtown Dentistry for Kids PLLC
- Boise Towne Square Dental
- Boise Towne Square Dental
- Boise Ultrasound Company LLP
- Boise VA Hospital
- Boise Valley Asthma & Allergy PA (Boise Valley Asthma And Allergy Clinic)
- Boise Valley Chiropractic LLC
- Boise Valley Counseling Center, L.L.C.
- Boise Valley Doctors, P.a. (Firstline Medical)
- Boise Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.