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

Calvin Woodrow Udall, BSQIDP

Individual provider Case Manager/Care Coordinator · NPI 1982538047

Calvin Woodrow Udall, BSQIDP is a Case Manager/Care Coordinator in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

1349 W Martin St
Boise, ID 83706-4166
Phone: (208) 422-4891
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (ID)

Record details

NPI number1982538047
Entity typeIndividual (Type 1)
GenderMale
Credentials BSQIDP
Sole proprietorNo
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Other providers in Boise