OrganizationActive
Premise Health of Colorado Medical, P.C.
NPI 1598929903 · Primary Care Clinic/Center · Boise, ID
Provider details
- NPI number
- 1598929903
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8000 S Federal Way # Ms 1-706
Boise, ID 83716-9632
Phone: (208) 368-5656
Fax: (208) 368-5607
Approximate (ZIP-level) locationGet directions
Mailing address
8000 S Federal Way # Ms 1-706
Boise, ID 83716-9632
Other names (DBA / former)
- Doing business as
- Micron Family Health Center
- Doing business as
- Micron Family Health Center
Registry dates
- Enumerated
- 2008-07-15
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.