Organization
NORTH END CHILDREN'S HEALTH CLINIC
Active
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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