Organization
OMEGA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J DWYER MD (MD)
(208) 853-0071
Entity
Organization
Contact information
Practice address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Mailing address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M9186
ID
363L00000X
Nurse Practitioner
NP424A
ID
363L00000X
Nurse Practitioner
Primary
NP722A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528145893
INDIVIDUAL NPI
ID
Enumeration date
03/26/2007
Last updated
09/11/2025
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