# BOISE WOMEN'S HEALTH & BIRTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003243890
- **Authorized official:** CHARLOTTE WILKES CNM (CNM/OWNER)
- **Authorized official phone:** (208) 724-6933

## Contact information

- **Practice address:** 1502 W FRANKLIN ST, BOISE, ID 83702-4028
- **Practice address phone:** (208) 724-6933
- **Mailing address:** 2296 N 20TH ST, BOISE, ID 83702-0833
- **Mailing address phone:** (208) 724-6933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | CNM52A | ID | Yes |

## Other

- **Enumeration date:** 10/11/2013
- **Last updated:** 10/11/2013