| NPI | 1841696952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER CEO 208-620-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2025-06-18 |