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

Momentum Medical Group of Idaho LLC

Organization Family Medicine Physician · NPI 1417737594

Momentum Medical Group of Idaho LLC is a Family Medicine Physician in Boise, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8854 W Emerald St Ste 275
Boise, ID 83704-4860
Phone: (208) 375-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1417737594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Beard — Billing Service · (208) 880-0883
NPI enumeratedOctober 4, 2023
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address8854 W Emerald St Ste 140, Boise, ID 83704-4845

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