OrganizationActive
Idaho Minor Emergency and Family Practice PA
NPI 1205996063 · Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1205996063
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Hooft, Owner, Ceo(208) 514-4400
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3041 East Copper Pointe Drive
Meridian, ID 83642
Phone: (208) 514-4400
Fax: (208) 514-4404
Approximate (ZIP-level) locationGet directions
Mailing address
3041 East Copper Pointe Drive
Meridian, ID 83642
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2013-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.