Boise Obstetric & Gynecologic Associates Pa

LBN: Boise Obstetric & Gynecologic Associates Pa
Boise Obstetric & Gynecologic Associates Pa is an health care organization with primary practice located at 5966 Curtisian Ave , Boise ID 83704. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. Boise Obstetric & Gynecologic Associates Pa can be contacted via phone (208) 375-8100, or through Gleason, Cheryl R via phone (208) 375-8100.

Contact Information

Primary practice address
5966 Curtisian Ave Boise ID 83704
Phone: (208) 375-8100
Fax: (208) 373-2643
Website:
Map and Directions
Authorized official contact:
Name: Gleason, Cheryl R
Phone: (208) 375-8100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1487693032
LBN Legal business name Boise Obstetric & Gynecologic Associates Pa
DBA Doing business as
Authorized official Gleason, Cheryl R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487693032 NPPES
Idaho Other 290426 BLUE SHIELD
Idaho Other 29381 BLUE SHIELD
Idaho Other 8E936 BLUE SHIELD
Idaho Other 89300 BLUE SHIELD
Idaho MEDICAID 808037700 BLUE SHIELD

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