Organization
NORTH END CHILDREN'S HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONA JO'ANNE' CHURCH CPNP (PRESIDENT, BOARD OF DIRECTORS)
(208) 395-0000
Entity
Organization
Contact information
Practice address
1655 W FAIRVIEW AVE STE 206, BOISE, ID 83702-5190
(208) 395-0000
(208) 395-0009
Mailing address
1655 W FAIRVIEW AVE STE 206, BOISE, ID 83702-5190
(208) 395-0000
(208) 395-0009
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/13/2006
Last updated
04/23/2009
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