OrganizationActive
Idaho Dept of Health & Welfare Region 4 Cmh Psr Boise
NPI 1891825824 · Rehabilitation Clinic/Center · Boise, ID
Provider details
- NPI number
- 1891825824
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gina Westcott, Program Manager(208) 334-0969
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1720 Westgate Dr
Suite D
Boise, ID 83704-7164
Phone: (208) 334-0792
Fax: (208) 334-0812
Street-level locationGet directions
Mailing address
1720 Westgate Dr
Boise, ID 83704-7164
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.