OrganizationActive
Pain Care Clinic of Idaho, P.C.
NPI 1982093357 · Pain Clinic/Center · Eagle, ID
Pain Care Clinic of Idaho, P.C. is a Pain Clinic/Center organization in Eagle, ID (NPI 1982093357).
Provider details
- NPI number
- 1982093357
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edmund Boese, Owner(208) 939-3750
- License
- M12565 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
742 E State St
Suite 150
Eagle, ID 83616-5941
Phone: (208) 939-3750
Fax: (208) 939-3754
Street-level locationGet directions
Mailing address
742 E State St
Eagle, ID 83616-5941
Registry dates
- Enumerated
- 2015-01-22
- Last updated
- 2015-01-22
Frequently asked questions
- What is Pain Care Clinic of Idaho, P.C.'s NPI number?
- Pain Care Clinic of Idaho, P.C.'s National Provider Identifier (NPI) is 1982093357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pain Care Clinic of Idaho, P.C.?
- Pain Care Clinic of Idaho, P.C. is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pain Care Clinic of Idaho, P.C. located?
- Pain Care Clinic of Idaho, P.C.'s practice location on file with NPPES is 742 E State St, Eagle, ID 83616-5941.
- What is Pain Care Clinic of Idaho, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Pain Care Clinic of Idaho, P.C. is (208) 939-3750.
- Who is the authorized official for Pain Care Clinic of Idaho, P.C.?
- The authorized official listed on Pain Care Clinic of Idaho, P.C.'s NPPES record is Edmund Boese, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pain Care Clinic of Idaho, P.C.'s NPI active?
- Yes — Pain Care Clinic of Idaho, P.C.'s NPI (1982093357) is active in the NPPES registry as of the last update on 2015-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.