Pure Healthcare of Idaho LLC
NPI 1568005809 · Multi-Specialty Clinic/Center · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure Healthcare of Idaho LLC is a Multi-Specialty Clinic/Center organization in Boise, ID (NPI 1568005809).
Provider details
- NPI number
- 1568005809
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rachel Fraga, Contracting Manager(801) 921-6325
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Additional practice locations (5)
- 916 W Ironwood Dr Ste Ul1Coeur D Alene, ID 83814-2642Phone: (208) 577-5380Fax: (801) 327-0211
- 3423 Merlin DrIdaho Falls, ID 83404-7430Phone: (208) 217-9099Fax: (801) 327-0211
- 1750 W Mcmillan Rd Ste 120Meridian, ID 83646-6891Phone: (208) 900-4480Fax: (801) 327-0211
- 11118 Moss LnNampa, ID 83651-8015Phone: (208) 563-5910Fax: (801) 327-0211
- 1411 Falls Ave E Ste 1151aTwin Falls, ID 83301-3455Phone: (208) 543-7995
Registry dates
- Enumerated
- 2019-10-18
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Pure Healthcare of Idaho LLC's NPI number?
- Pure Healthcare of Idaho LLC's National Provider Identifier (NPI) is 1568005809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Healthcare of Idaho LLC?
- Pure Healthcare of Idaho LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pure Healthcare of Idaho LLC located?
- Pure Healthcare of Idaho LLC's practice location on file with NPPES is 5975 W Overland Rd, Boise, ID 83709-3012.
- What is Pure Healthcare of Idaho LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Healthcare of Idaho LLC is (208) 488-4998.
- Does Pure Healthcare of Idaho LLC accept Medicare?
- Pure Healthcare of Idaho LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure Healthcare of Idaho LLC?
- The authorized official listed on Pure Healthcare of Idaho LLC's NPPES record is Rachel Fraga, Contracting Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Healthcare of Idaho LLC's NPI active?
- Yes — Pure Healthcare of Idaho LLC's NPI (1568005809) is active in the NPPES registry as of the last update on 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.