OrganizationActive
Southwest District Health
NPI 1598748337 · Public Health or Welfare Agency · Caldwell, ID
Provider details
- NPI number
- 1598748337
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Boster, Office Specialist II(208) 455-5348
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
13307 Miami Ln
Caldwell, ID 83607-4701
Phone: (208) 455-5305
Fax: (208) 455-5368
Approximate (ZIP-level) locationGet directions
Mailing address
13307 Miami Ln
Caldwell, ID 83607-4701
Other names (DBA / former)
- Former legal business name
- State of Idaho
Registry dates
- Enumerated
- 2005-11-25
- Last updated
- 2024-02-02
- Certified
- 2024-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.