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

Mangum Primary Care LLC

Organization Primary Care Clinic/Center · NPI 1194494229

Mangum Primary Care LLC is a Primary Care Clinic/Center in Boise, Idaho. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3046 S Bown Way
Boise, ID 83706-5499
Phone: (801) 793-8124
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3050 N Lakeharbor Ln Ste 120, Boise, ID 83703-6917 — (208) 550-3456

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1194494229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meredith Mangum — Owner · (801) 793-8124
NPI enumeratedSeptember 11, 2021
Last updated in NPPESSeptember 11, 2021
Certification dateSeptember 11, 2021
Mailing address608 S Phillippi St, Boise, ID 83705-1160

Other providers in Boise