BOISE STATE UNIVERSITY
BOISE STATE UNIVERSITY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134905243, based in Boise, ID. The organization lists 4 taxonomy classifications, with Community Health Clinic/Center recorded as primary.
Getting there
The practice address on file is 2100 UNIVERSITY DR STE 107, Boise, ID 83725. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5991112468
- Enrollment ID
- O20240829003019
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Community Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QC1500X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | |
| 2083P0901X | Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine | — | — | |
| 251K00000X | Public Health or Welfare Agency | — | — | |
| 261QC1500X | Community Health Clinic/Center Community Health | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1134905243 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 5, 2023 |
| Last updated | Aug 29, 2024 |
| Status | Active |
| Practice address |
2100 UNIVERSITY DR STE 107 Boise, ID 83725 (208) 426-1523 Fax (208) 426-2302 |
| Mailing address |
1910 UNIVERSITY DR # MS 1855 Boise, ID 83725 |
| Other names |
Boise State University Public Health Clinic Former Legal Name |
| Other identifiers |
1134905243
· Medicaid (ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 9 | 0 | 5 | 2 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 9 | 0 | 1 | 2 | 8 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.