NPIMap

Organization Active NPI

Micron Health Clinic

  • Clinic/Center
  • Boise, ID
National Provider Identifier
1982812293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MICRON HEALTH CLINIC
Practice address
8000 S Federal Way
Boise, ID 83716-9632
Phone
(208) 368-5656
Fax
(208) 368-5607
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Brahe, RN
Title
Coo
Phone
(208) 367-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ID Primary

Addresses

Primary practice location

8000 S Federal Way
Boise, ID 83716-9632

Mailing address

8000 S Federal Way
Boise, ID 83716-9632
Phone (208) 368-5656

National Provider Directory

National Provider Directory

Locations

8000 S Federal Way
Boise, ID 83716
Phone (208) 368-2109

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982812293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S FEDERAL WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169632",
            "telephone_number": "208-368-5656",
            "fax_number": "208-368-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S FEDERAL WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169632",
            "telephone_number": "208-368-5656",
            "fax_number": "208-368-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRON HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAHE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "208-367-7939",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.