BOISE STATE UNIVERSITY
NPI 1194865444
Clinic/Center - Student Health in Boise, ID

NPI Status: Active since February 07, 2007

Contact Information

1529 BELMONT ST
BOISE, ID
ZIP 83725
Phone: (208) 426-1459
Fax: (208) 426-3005

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  • Organization
  • Clinic/Center
  • Student Health
  • Accepts Insurance
  • CLIA Number: 13D2244492
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 12-01-2025

About BOISE STATE UNIVERSITY

This page provides the complete NPI Profile along with additional information for Boise State University, a primary care provider established in Boise, Idaho operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1194865444 assigned on February 2007. The practitioner's primary taxonomy code is 261QS1000X with license number M-7056 (ID). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Boise State University. The authorized official of this NPI record is Dr. Rochelle Wolfe Md (Medical Director)

NPI
1194865444
Provider Legal Name
BOISE STATE HEALTH CENTER
Other Organization Name
BOISE STATE UNIVERSITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1529 BELMONT ST BOISE, ID 83725
Location Phone
(208) 426-1459
Location Fax
(208) 426-3005
Mailing Address
1910 UNIVERSITY DR # MS -1351 BOISE, ID 83725
Mailing Phone
(208) 426-2158
Mailing Fax
(208) 426-3005
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2007
Last Update Date
12-08-2020
Code Navigator

A primary care provider (PCP) like Boise State University sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities
License No.
M-7056
License State
ID

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROCHELLE WOLFE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(208) 426-1470

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2244492
Facility Type
Community Clinic
Certificate Effective Date
December 02, 2023
Certificate Expiration Date
December 01, 2025
Laboratory Director
STEPHANIE F. HUDON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Boise State University to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BOISE STATE UNIVERSITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194865444
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841661048
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 6 + 1 + 0 + 4 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1194865444 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588912661MS. NATALIE G LINHART LPC, NCC
Individual
Counselor (Professional)1529 BELMONT ST
BOISE, ID 83725
(208) 426-1459
1265783419 B GARY BELL A.S., CMT
Individual
Clinic/Center (Student Health)1529 BELMONT ST
BOISE, ID 83725
(208) 426-1459
1639519044MRS. STACI DAWN ELLIS LMT
Individual
Specialist1529 BELMONT ST
BOISE, ID 83725
(208) 426-1459
1033551015 TANNA SUSAN WILLIS LCMT
Individual
Massage Therapist1529 BELMONT ST
BOISE, ID 83725
(208) 426-1459
1215363353MRS. MAYA SCHIMPF NP-C
Individual
Nurse Practitioner (Family)1529 BELMONT ST
BOISE, ID 83725
(208) 426-1459
1497040521 MATT NIECE LPC
Individual
Counselor (Mental Health)1529 BELMONT ST
BOISE, ID 83725
(208) 426-1459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194865444, enumerated in the NPI registry as an "organization" on February 07, 2007

The provider is located at 1529 Belmont St Boise, Id 83725 and the phone number is (208) 426-1459

This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health

The provider might be accepting Accepts: Moda Health Plan, Inc. and Mountain Health CO-OP. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D2244492 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.