| Organization Name: | BOISE WOMEN'S HEALTH & BIRTH CENTER |
| NPI Number: | 1003243890 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLOTTE WILKES (CNM/OWNER) |
| Mailing Address: | 1502 W Franklin St Boise |
| State: | ID US |
| Postal Code: | 837024028 |
| Phone Number: | 2087246933 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2013 |
| NPI Last Update Date: | 10/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |