# BOISE STATE HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BOISE STATE UNIVERSITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194865444
- **Authorized official:** DR. ROCHELLE WOLFE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (208) 426-1470

## Contact information

- **Practice address:** 1529 BELMONT ST, BOISE, ID 83725-1351
- **Practice address phone:** (208) 426-1459
- **Practice address fax:** (208) 426-3005
- **Mailing address:** 1910 UNIVERSITY DR \# MS -1351, BOISE, ID 83725-1351
- **Mailing address phone:** (208) 426-2158
- **Mailing address fax:** (208) 426-1448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | M-7056 | ID | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 12/08/2020