Organization
PUBLIC HEALTH DISTRICT IV
Active
Other names
Central District Health Dept., Central District Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MCMURTRY (CLINIC MANAGER)
(208) 327-7400
Entity
Organization
Contact information
Practice address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 375-5211
(208) 327-8500
Mailing address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 375-5211
(208) 327-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
N/A PUBLIC HEALTH AG
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010007076
REGENCE BLUE SHIELD OF ID
ID
05
—
002469200
—
ID
05
—
002469400
—
ID
05
—
002469700
—
ID
05
—
002831400
—
ID
05
—
805808800
—
ID
05
—
806152200
—
ID
05
—
806919800
—
ID
01
—
DH041
BLUE CROSS OF IDAHO
ID
Enumeration date
03/28/2006
Last updated
10/17/2023
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