OrganizationActive
The Pediatric and Adolescent Center, Inc.
NPI 1144341637 · Legal Medicine · Boise, ID
Provider details
- NPI number
- 1144341637
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- William Bourquard, Owner(208) 322-5437
- License
- M-5223 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6148 N Discovery Way
Suite 100
Boise, ID 83713-0201
Phone: (208) 322-5437
Fax: (208) 322-6013
Street-level locationGet directions
Mailing address
6148 N Discovery Way
Boise, ID 83713-0201
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.