| NPI | 1679134126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER SMITH CEO 208-853-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-05-02 |