Organization provider

MANGUM PRIMARY CARE LLC

Primary Care Clinic/Center Medicare enrolled

MANGUM PRIMARY CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194494229, based in Boise, ID. It is classified under Primary Care Clinic/Center.

Getting there

The practice address on file is 3046 S BOWN WAY, Boise, ID 83706. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3046 S BOWN WAY, Boise, ID 83706 Open in Google Maps →

Credentials and Medicare

State licence

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.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0547706509

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
Ambulatory Health Care Facilities Clinic/Center Primary Care

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.

NPI1194494229 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 11, 2021
Last updatedSep 11, 2021
StatusActive
Practice address 3046 S BOWN WAY
Boise, ID 83706
(801) 793-8124
Mailing address 608 S PHILLIPPI ST
Boise, ID 83705
The last update on file is Sep 11, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1194494229 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 9 4 4 9 4 2 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 8 9 8 2 4

Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9

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.

Common questions

What is NPI number 1194494229?
NPI 1194494229 is the National Provider Identifier assigned to MANGUM PRIMARY CARE LLC in Boise, ID. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact MANGUM PRIMARY CARE LLC?
The phone number on file with NPPES is (801) 793-8124, last updated Sep 11, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MANGUM PRIMARY CARE LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1194494229 a valid number?
Yes. 1194494229 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.