# COLLEGE OF WESTERN IDAHO-MEDICAL EXPRESS CARE CLINIC

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

## Provider details

- **NPI number:** 1548549249
- **Authorized official:** MS. SHERIE BURKE (ADMINISTRATOR)
- **Authorized official phone:** (208) 562-2707

## Contact information

- **Practice address:** 2407 NAMPA CALDWELL BLVD, NO. 168, NAMPA, ID 83651-1515
- **Practice address phone:** (208) 562-2200
- **Practice address fax:** (208) 562-2207
- **Mailing address:** 2407 NAMPA CALDWELL BLVD, NO. 168, NAMPA, ID 83651-1515
- **Mailing address phone:** (208) 562-2200
- **Mailing address fax:** (208) 562-2207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SA2200X | Adult Health Clinical Nurse Specialist | NP885A | ID | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 08/11/2011