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Organization
BOISE STATE HEALTH CENTER
Active
Organization
BOISE STATE HEALTH CENTER
Active
Other names
BOISE STATE UNIVERSITY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCHELLE WOLFE MD (MEDICAL DIRECTOR)
(208) 426-1470
Entity
Organization
Contact information
Practice address
1529 BELMONT ST, BOISE, ID 83725-1351
(208) 426-1459
(208) 426-3005
Mailing address
1910 UNIVERSITY DR # MS -1351, BOISE, ID 83725-1351
(208) 426-2158
(208) 426-1448
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
M-7056
ID
Other
Enumeration date
02/07/2007
Last updated
12/08/2020
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