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Boise Family Medicine Center

Family Medicine Physician in Boise, ID · enumerated 2007 · authorized official Dale Mock, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376747790

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Registry record

Entity type Organization (Type 2)
Legal business name Boise Family Medicine Center
Practice address 10798 W. Overland Rd, Boise, ID, 83709
Fax (208) 322-4691
Enumeration date Jun 11, 2007
Last updated in NPPES Sep 8, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Dale Mock
Title Owner/Physician

Other identifiers

Identifier Type State Issuer
002643200 Medicaid ID -
32110 Other ID BLUE CROSS
000010006306 Other ID BLUE SHIELD
000010006306 Other ID BLUE SHIELD GROUP NUMBER
32110 Other ID BLUE CROSS GROUP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Boise Family Medicine Center?
Boise Family Medicine Center is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-08.