FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
NPI 1740524701
Family Medicine in Boise, ID
NPI Status: Active since November 15, 2012
Contact Information
3858 N GARDEN CENTER WAY
SUITE 100
BOISE, ID
ZIP 83703
Phone: (208) 385-7711
Fax: (208) 385-0346
- Organization
- Family Medicine
- CLIA Number: 13D2230426
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-22-2025
About FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
This page provides the complete NPI Profile along with additional information for Functional And Integrative Medicine Of Idaho Pa, a primary care provider established in Boise, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1740524701 assigned on November 2012. The practitioner's primary taxonomy code is 207Q00000X with license number M4631 (ID). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gail M. Eberharter M.d. (President)
- NPI
- 1740524701
- Provider Name
- FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
- Entity Type
- Organization
- Location Address
- 3858 N GARDEN CENTER WAY SUITE 100 BOISE, ID 83703
- Location Phone
- (208) 385-7711
- Location Fax
- (208) 385-0346
- Mailing Address
- 2905 W JORDAN ST BOISE, ID 83702
- Mailing Phone
- (208) 863-1399
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2012
- Last Update Date
- 01-29-2015
- Code Navigator
A primary care provider (PCP) like Functional And Integrative Medicine Of Idaho Pa 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M4631
- License State
- ID
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1118207 | MEDICARE PIN (08) | ID | |
| B63788 | MEDICARE UPIN (02) | ID |
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
- 13D2230426
- Facility Type
- Physician Office
- Certificate Effective Date
- July 23, 2023
- Certificate Expiration Date
- July 22, 2025
- Laboratory Director
- MARK HOLTHOUSE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Functional And Integrative Medicine Of Idaho Pa 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 FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO PA
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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. | |||||||||
| 1 | 7 | 4 | 0 | 5 | 2 | 4 | 7 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 10 | 2 | 8 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 0 + 2 + 8 + 7 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1740524701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225451073 | DR. STEVEN MAIER D.C. Individual | Chiropractor | 3858 N GARDEN CENTER WAY SUITE 101 BOISE, ID 83703 (208) 336-0017 |
| 1598071557 | KATHLEEN MARIE BERG DPT, MS, CSCS, FAFS Individual | Physical Therapist | 3858 N GARDEN CENTER WAY SUITE 102 BOISE, ID 83703 (208) 830-1668 |
| 1619316460 | VITAM PLLC Organization | Physical Therapist (Orthopedic) | 3858 N GARDEN CENTER WAY SUITE 102 BOISE, ID 83703 (208) 830-1668 |
| 1699894477 | KAREN M CALLAGY PA-C Individual | Physician Assistant (Medical) | 3858 N GARDEN CENTER WAY SUITE 100 BOISE, ID 83703 (208) 385-7711 |
| 1295755403 | DR. GAIL M EBERHARTER RANKIN MD Individual | Family Medicine | 3858 N GARDEN CENTER WAY SUITE 100 BOISE, ID 83703 (208) 385-7711 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740524701, enumerated in the NPI registry as an "organization" on November 15, 2012
The provider is located at 3858 N Garden Center Way Suite 100 Boise, Id 83703 and the phone number is (208) 385-7711
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D2230426 for a "physician office" 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 November 15, 2012. 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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