IDAHO CONCIERGE MEDICINE LLC – NPI #1013712330
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

IDAHO CONCIERGE MEDICINE LLC is a provider located in BOISE, ID. NPPES has assigned the NPI number 1013712330 to IDAHO CONCIERGE MEDICINE LLC on February 19, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was last updated on Mar 26, 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 IDAHO CONCIERGE MEDICINE LLC below.

NPI Profile for
IDAHO CONCIERGE MEDICINE LLC

NPI Number
1013712330
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDAHO CONCIERGE MEDICINE LLC
Primary location
11696 W GABRIELLE CT # 83713
BOISE, ID 83713-7812
Phone: (208) 314-1325 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SABRINA BOJO
NURSE PRACTITIONER
Phone: (208) 314-1325
Updated
Certification Date
Mar 26, 2026

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.

Taxonomy Code(s)

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
207QA0505X
- Family Medicine / Adult Medicine (Primary)

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.