Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Minor Emergency Center PA

Organization General Practice Physician · NPI 1114938909

Boise Minor Emergency Center PA is a General Practice Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2993 N Cole Rd
Boise, ID 83704-5977
Phone: (208) 378-0400
Fax: (208) 378-7529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1114938909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Canova — Owner · (208) 378-0400
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2993 N Cole Rd, Boise, ID 83704-5977

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