BOISE ENDOSCOPY CENTER LLC – NPI #1114912102
Clinic/Center
BOISE ENDOSCOPY CENTER LLC is an AHC clinic located in BOISE, ID. NPPES has assigned the NPI number 1114912102 to BOISE ENDOSCOPY CENTER LLC on September 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was last updated on Apr 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOISE ENDOSCOPY CENTER LLC below.
NPI Profile for
BOISE ENDOSCOPY CENTER LLC
(more than 20 years ago)
BOISE, ID 83702-6035 Phone: (208) 342-7169 Fax: (208) 368-0863
AUTHORIZED OFFICIAL
Phone: (208) 342-7169
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BOISE ENDOSCOPY CENTER LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE CROSS OF IDAHO | ID | 04580 |
| other | BLUE SHIELD OF IDAHO | ID | 000010005291 |
| medicaid | ID | 805944300 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
ID | 1870273 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- Boise
- Endpoint type
- Other URL
- Endpoint Description
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
425 W BANNOCK ST,
BOISE, ID 77025-1669