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

Southwest Idaho Advanced Care Hospital Inc -A Delaware Corp

Organization Internal Medicine Physician · NPI 1114112216

Southwest Idaho Advanced Care Hospital Inc -A Delaware Corp is an Internal Medicine Physician in Boise, Idaho. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6651 W Franklin Rd
Boise, ID 83709
Phone: (505) 856-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Hospital (primary) Taxonomy 282E00000X
Internal Medicine Physician Taxonomy 207R00000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Pulmonary Disease Physician Taxonomy 207RP1001X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1114112216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claude Brockette — Ceo · (505) 856-5300
NPI enumeratedSeptember 11, 2007
Last updated in NPPESAugust 17, 2017
Mailing address6651 W Franklin Rd, Boise, ID 83709

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