Organization · NPI-2

A L P H A Care

Internal Medicine · Boise, ID

NPI number1427419647

StatusActive

Last updated in NPPESApr 16, 2025

Details

NPI: 1427419647
Entity type: Organization (NPI-2)
Legal business name: A L P H A Care
Organization subpart: No
Enumeration date: Mar 15, 2016
Certification date: Apr 16, 2025
Last updated: Apr 16, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
363LC1500X	Nurse Practitioner, Community Health	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

537 W Bannock St Ste 100
Boise, ID 83702-5759

Phone 208-424-7799 · Fax 208-629-1260

Mailing address

537 W Bannock St Ste 100
Boise, ID 83702-5759

Phone 208-424-7799

Authorized official

Christopher Bidiman
Director/Owner
2085962701

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