COUGHLIN CLINIC BOISE
NPI 1235696212
Durable Medical Equipment & Medical Supplies in Boise, ID

NPI Status: Active since February 26, 2019

Contact Information

1075 N CURTIS RD STE 300
BOISE, ID
ZIP 83706
Phone: (208) 302-3100

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About COUGHLIN CLINIC BOISE

This page provides the complete NPI Profile along with additional information for Coughlin Clinic Boise, a provider established in Boise, Idaho operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1235696212 assigned on February 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Coughlin Clinic Boise. The authorized official of this NPI record is Brian Lannie Checketts (Cfo)

NPI
1235696212
Provider Legal Name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Other Organization Name
COUGHLIN CLINIC BOISE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1075 N CURTIS RD STE 300 BOISE, ID 83706
Location Phone
(208) 302-3100
Mailing Address
3340 E GOLDSTONE DR MERIDIAN, ID 83642
Mailing Phone
(208) 367-5170
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2019
Last Update Date
01-24-2023
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

BRIAN LANNIE CHECKETTS

Authorized Official Title
CFO
Authorized Official Phone
(208) 367-7347

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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.
1235696212
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651291222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 9 + 1 + 2 + 2 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1235696212 is valid because the calculated check digit 2 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
1104473883 CHRISTOPHER DESUTTER MD
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)1075 N CURTIS RD STE 300
BOISE, ID 83706
(208) 302-3100
1619362480 JUSTIN MICHAEL JOHNSON PA-C
Individual
Physician Assistant1075 N CURTIS RD STE 300
BOISE, ID 83706
(208) 302-3100
1477045177 JAMES DEVAN HARTIGAN
Individual
Physician Assistant1075 N CURTIS RD STE 300
BOISE, ID 83706
(208) 302-3100
1659659001 DAVID ZARKOU D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)1075 N CURTIS RD STE 300
BOISE, ID 83706
(208) 302-3100
1992200331 SCOTT GREGORY BIRD DPM
Individual
Podiatrist (Foot & Ankle Surgery)1075 N CURTIS RD STE 300
BOISE, ID 83706
(208) 302-3100
1629223110DR. KYLE R. YORGASON D.P.M.
Individual
Podiatrist1075 N CURTIS RD STE 300
BOISE, ID 83706
(208) 302-3100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235696212, enumerated in the NPI registry as an "organization" on February 26, 2019

The provider is located at 1075 N Curtis Rd Ste 300 Boise, Id 83706 and the phone number is (208) 302-3100

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on February 26, 2019. 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].
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