Boise Vamc
Clinic/Center, VA in Mountain Home, ID. Organization (NPI-2).
NPI number1003223165
StatusActive
Last updated in NPPESOct 31, 2017
Details
- NPI
- 1003223165
- Entity type
- Organization (NPI-2)
- Legal business name
- Boise Vamc
- Organization subpart
- No
- Enumeration date
- Jul 21, 2014
- Last updated
- Oct 31, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Mountain Home Va Clinic (Other Name)
Practice location
815 N 6th EMountain Home, ID 83647-2207
Phone 702-341-3164
Mailing address
Po Box 94402Cleveland, OH 44101-4402
Phone 702-341-3164
Authorized official
Erin Potter
Npi Team Member
2023822579
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.