| Boise Family Medicine, Llc | |
|
10798 W Overland Rd Boise ID 83709-1329 | |
| (208) 377-3368 | |
| (208) 322-4691 |
| Full Name | Boise Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10798 W Overland Rd, Boise, Idaho |
| Authorized Official Name and Position | Brian Brumpton (CEO) |
| Authorized Official Contact | 2083773368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Family Medicine, Llc 10798 W Overland Rd Boise ID 83709-1329 Ph: (208) 377-3368 | Boise Family Medicine, Llc 10798 W Overland Rd Boise ID 83709-1329 Ph: (208) 377-3368 |
| NPI Number | 1356883326 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 9537441241 |
|---|---|
| Medicare Enrollment ID | O20170112001761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356883326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Idaho) | Primary |
| Provider Name | Stephanie K Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609892413 PECOS PAC ID: 7315090859 Enrollment ID: I20100615000694 |
| Provider Name | Kirk A Campana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205819950 PECOS PAC ID: 5597717504 Enrollment ID: I20140602000727 |
| Provider Name | Benie Cam-hang Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710115399 PECOS PAC ID: 6507014677 Enrollment ID: I20200218001485 |
Riverside Primary Care Adult And Geriatric Medicine Plllp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1673 W Shoreline Dr Ste 100, Boise, ID 83702 Phone: 208-593-3054 | |
Guy M. Hanson, Dds, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9203 W Overland Rd, Boise, ID 83709 Phone: 208-375-1012 Fax: 208-375-1098 | |
Ann Cordum Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-994-8656 | |
Main Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Main St, Boise, ID 83702 Phone: 208-336-7722 | |
Hart & Co Idaho Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 W Hays St Ste 105, Boise, ID 83702 Phone: 208-476-1995 Fax: 208-227-8612 | |
Partners In Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7722 W Ustick Rd, Boise, ID 83704 Phone: 208-322-1325 Fax: 208-327-0393 | |
St Lukes Clinic - Capital City Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 W State St, Ste 100, Boise, ID 83702 Phone: 208-947-7700 |