OrganizationActive
State of Idaho
NPI 1265558019 · Family Medicine Physician · Nampa, ID
State of Idaho is a Family Medicine Physician organization in Nampa, ID (NPI 1265558019).
Provider details
- NPI number
- 1265558019
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sue Broetje, Administrative Director(208) 442-2812
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1660 11th Ave N
Nampa, ID 83687-5000
Phone: (208) 442-2812
Fax: (208) 467-5978
Street-level locationGet directions
Mailing address
1660 11th Ave N
Nampa, ID 83687-5000
Other names (DBA / former)
- Doing business as
- Dhw Issh Group Physicians
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is State of Idaho's NPI number?
- State of Idaho's National Provider Identifier (NPI) is 1265558019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Idaho?
- State of Idaho is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is State of Idaho located?
- State of Idaho's practice location on file with NPPES is 1660 11th Ave N, Nampa, ID 83687-5000.
- What is State of Idaho's phone number?
- The practice phone number listed in the NPPES registry for State of Idaho is (208) 442-2812.
- Who is the authorized official for State of Idaho?
- The authorized official listed on State of Idaho's NPPES record is Sue Broetje, Administrative Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Idaho's NPI active?
- Yes — State of Idaho's NPI (1265558019) is active in the NPPES registry as of the last update on 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.