Boise State University
NPI 1134905243 · Community Health Clinic/Center · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boise State University is a Community Health Clinic/Center organization in Boise, ID (NPI 1134905243).
Provider details
- NPI number
- 1134905243
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Hudon, Clinical Program Director(208) 995-3765
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Public Health or Welfare Agency251K00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boise State University Public Health Clinic
- Doing business as
- Boise State University Public Health Clinic
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Boise State University's NPI number?
- Boise State University's National Provider Identifier (NPI) is 1134905243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise State University?
- Boise State University is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boise State University located?
- Boise State University's practice location on file with NPPES is 2100 University Dr Ste 107, Boise, ID 83725-0001.
- What is Boise State University's phone number?
- The practice phone number listed in the NPPES registry for Boise State University is (208) 426-1523.
- Does Boise State University accept Medicare?
- Boise State University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boise State University?
- The authorized official listed on Boise State University's NPPES record is Stephanie Hudon, Clinical Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise State University's NPI active?
- Yes — Boise State University's NPI (1134905243) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.