Integrative Palliative Care, PLLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

M5398 Issued in ID

Legal business name

INTEGRATIVE PALLIATIVE CARE, PLLC

Practice address

1015 W Hays St
Suite 6
Boise, ID 83702-5424

Phone

(208) 473-1348

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Arthur Clifford, M.D.NPI 1568500700

Title

Member

Phone

(208) 473-1348

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kevin A Clifford, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Boise, ID
  • NPI 1568500700
  Authorized official Same address or phone

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1801345467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W HAYS ST",
            "address_2": "SUITE 6",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025424",
            "telephone_number": "208-473-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W HAYS ST",
            "address_2": "SUITE 6",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025424",
            "telephone_number": "208-473-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PALLIATIVE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-473-1348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ID",
            "license": "M5398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568500700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.