NPI 1083098727 · live from the CMS NPI Registry
The Neighborhood Clinic, LLC
Family Medicine in Boise, ID. National Provider Identifier 1083098727, active.
NPI record
| NPI | 1083098727 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3751 N Cloverdale Rd, Boise, ID 83713 |
| Practice phone | 208-321-5073 |
| Mailing address | Po Box 1176, Meridian, ID 83680 |
| Enumerated | July 13, 2015 |
| Last updated | May 27, 2026 |
| Authorized official | Jason Fletcher, Owner |
| Other names | Auburn Crest Primary And Palliative Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.