OrganizationActive
Star Medical Center PC
NPI 1508918244 · General Practice Registered Nurse · Star, ID
Provider details
- NPI number
- 1508918244
- Entity type
- Organization
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Authorized official
- Elmer Dodge, President Owner
Practice location
9858 W State St
Star, ID 83669-5210
Phone: (208) 286-0666
Fax: (208) 286-0565
Mailing address
Po Box 44267
Boise, ID 83711-0267
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2013-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.