Boise River Birth Center and Womens Health

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

BOISE RIVER BIRTH CENTER AND WOMENS HEALTH

Practice address

182 W State St Ste B
Eagle, ID 83616-4959

Phone

(208) 639-2700

Fax

(208) 639-2736

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Tracy Lyn Hagadorn, LM, CPMNPI 1245726918

Title

C0-Owner

Phone

(208) 631-8910

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tracy Lyn Hagadorn, CPM, LM

  • Midwife
  • Eagle, ID
  • NPI 1245726918
  NPD (past) Authorized official
• Christine Marie Radsma, LM, CPM

  • Midwife
  • Eagle, ID
  • NPI 1972273159
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1972080810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 EAGLE HILLS WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165212",
            "telephone_number": "208-631-8910",
            "fax_number": "208-639-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W STATE ST STE B",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164959",
            "telephone_number": "208-639-2700",
            "fax_number": "208-639-2736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Boise River Birth Center and Womens Health",
            "address_2": "182 West State Street",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "83616",
            "country_code": "US",
            "telephone_number": "208-639-2700",
            "fax_number": "208-639-2736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOISE RIVER BIRTH CENTER AND WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "HAGADORN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "C0-OWNER",
        "authorized_official_telephone_number": "208-631-8910",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Irene Bizimana, NP
• William Blair, LCSW
• Krissy Blandford, MSP
• Kaila Pomaika'I Boeck
• Boise Memorial Hospice LLC
• Boise Shoulder Clinic, PA
• Allison Andrews Boldridge, P.T.
• Nicholas Bonfrisco
• Cody Johanna Bonine, FNP
• Nathaniel Bonovitz, LCPC

• Birthing Clinic/Center in Eagle, ID
• Providers in Eagle, ID by specialty
• Birthing Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.