OrganizationActive
Pure Healthcare of Idaho LLC
NPI 1568005809 · Multi-Specialty Clinic/Center · Boise, ID
Provider details
- NPI number
- 1568005809
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rachel Fraga, Contracting Manager
Practice location
5975 W Overland Rd
Boise, ID 83709-3012
Phone: (208) 488-4998
Fax: (801) 327-0211
Mailing address
4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Registry dates
- Enumerated
- 2019-10-18
- Last updated
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.