A. Young Incorporated
Organization Active NPI Chiropractor · Boise, ID
NPI 1871987248 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1871987248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- A. YOUNG INCORPORATED
- Practice address
- 2404 S Orchard St Ste 800
Boise, ID 83705-6725 - Phone
- (208) 345-2222
- NPI assigned
- Mar 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Jennifer Clover
- Title
- Billing Manager
- Phone
- (208) 345-2222
Practitioners 8
-
Chandra Dawn King, FNP-C
-
Angela Young, D.C.
-
Stevielyn Danielle Hill, PT, DPT
-
Jessica Keen, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170216002146 | ID | Part B Supplier - Clinic/Group Practice | 7618250655 |
Receives reassigned benefits from 8 practitioners Practice locations: Boise, ID |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
2404 S Orchard St Ste 800
Boise, ID 83705-6725
Mailing address
3256 W Agate CT
Boise, ID 83705-1770
Phone (208) 724-0990
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.