Active NPI
Oasis Medical Center LLC
- Urgent Care Clinic/Center
- Boise, ID
National Provider Identifier
1699942854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- OASIS MEDICAL CENTER LLC
- Practice address
- 9000 W Duck Lake Dr
Boise, ID 83714-1834 - Phone
- (208) 286-6676
- Fax
- (208) 672-8385
- NPI assigned
- May 15, 2008
- Last updated
- May 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jesse McMullin, RT, DS
- Title
- Administrator
- Phone
- (208) 286-6676
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary | ||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
9000 W Duck Lake Dr
Boise, ID 83714-1834
Mailing address
3217 W Bavaria St
Eagle, ID 83616
Phone (208) 286-6676
National Provider Directory
National Provider DirectoryLocations
3217 W Bavaria St
Eagle, ID 83616
Phone (208) 286-6676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1699942854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 W BAVARIA ST",
"city": "EAGLE",
"state": "ID",
"postal_code": "83616",
"telephone_number": "208-286-6676",
"fax_number": "208-672-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W DUCK LAKE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837141834",
"telephone_number": "208-286-6676",
"fax_number": "208-672-8385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "MCMULLIN",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-286-6676",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RT, DS"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.