OrganizationActive
Pain Care Clinic of Idaho, P.C.
NPI 1982093357 · Pain Clinic/Center · Eagle, ID
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
Established profile(74/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.