CLIA Laboratory Demographic Information Report

Report Options

State: ID Application Type: ALL Lab Classification: Non CLIA-Exempt
Number of Labs: 1450
Certificate / Application Type Name and Address / CLIA Number Telephone # Certificate Expiration Date Lab Testing Performed In
Waiver
1ST CHOICE URGENT CARE
1350 PARKWAY DR

BLACKFOOT, ID 83221

#13D1099999
(208) 782-2410 5/27/2021 Rural Health Clinic
Waiver
A BLESSED BEGINNING PREGNANCY RESOURCE CENTER
6530 WASHINGTON ST STE B

BONNERS FERRY, ID 83805

#13D2125480
(208) 946-0640 2/7/2021 Other Practitioner
Waiver
A TO Z FAMILY CARE
2086 ADDISON AVE E

TWIN FALLS, ID 83301

#13D1068337
(208) 733-9697 5/8/2021 Other Practitioner
Waiver
AAA AMERICAN HEALTHCARE
396 YELLOWSTONE

POCATELLO, ID 83201

#13D2137609
(208) 538-3122 9/28/2021 Physician Office
Waiver
AAA AMERICAN HEALTHCARE
1327 E 17TH ST

IDAHO FALLS, ID 83404

#13D2137626
(208) 538-3122 10/1/2021 Physician Office
PPM
ABERDEEN FAMILY CLINIC
50 SOUTH MAIN STREET

ABERDEEN, ID 83210

#13D2133080
(208) 226-1057 7/4/2021 Rural Health Clinic
PPM
ABERDEEN HEALTH WEST CLINIC
330 N MAIN ST

ABERDEEN, ID 83210

#13D0704228
(208) 397-4126 4/3/2021 Community Clinic
Waiver
ABSOLUTE DRUG TESTING LLC
306 N SPOKANE ST STE J

POST FALLS, ID 83854

#13D2067992
(208) 777-4220 10/24/2021 Other
Waiver
ABUNDANT LIFE HEALTH CARE
4483 N DRESDEN PL #102

BOISE, ID 83714

#13D1062890
(208) 433-9188 12/28/2020 Other Practitioner
Waiver
ACACIA WELLNESS CENTER
217 W GEORGIA AVE #120

NAMPA, ID 83686

#13D2058336
(208) 498-1760 5/5/2021 Other
Waiver
ACCESS BEHAVIORAL HEALTH SERVICES
1276 W RIVER ST #100

BOISE, ID 83702

#13D2088887
(208) 338-4699 12/16/2020 Community Clinic
PPM
ACTIVE FAMILY HEALTHCARE
8836 N HESS ST #E

HAYDEN, ID 83835

#13D2065341
(208) 758-0560 9/8/2021 Physician Office
Waiver
ADA COUNTY EMERGENCY MEDICAL SERVICES
370 N BENJAMIN LANE

BOISE, ID 83704

#13D0704499
(208) 287-2962 12/15/2020 Other
PPM
ADA COUNTY JAIL HEALTH SERVICES
7210 BARRISTER DR

BOISE, ID 83704

#13D1010306
(208) 577-3482 1/29/2021 Other
Waiver
ADA COUNTY JUVENILE DETENTION CENTER
6300 W DENTON ST

BOISE, ID 83704

#13D1008051
(208) 577-4963 1/8/2021 Ambulance
PPM
ADA DERMATOLOGY CLINIC
6454 W EMERALD ST

BOISE, ID 83704

#13D0521684
(208) 377-0820 12/10/2021 Physician Office
Compliance
ADA PEDIATRICS PA
650 N COLE RD

BOISE, ID 83704

#13D0521701
(208) 323-1222 9/25/2020 Physician Office
Compliance
ADA WEST DERMATOLOGY
1618 S MILLENNIUM WAY #200

MERIDIAN, ID 83642

#13D0895833
(208) 884-3376 1/3/2020 Physician Office
Registration
ADA WEST DERMATOLOGY
4574 N TEN MILE RD STE 120

MERIDIAN, ID 83646

#13D2171439
(208) 884-3376 8/29/2021 Physician Office
Accreditation
ADA WEST DERMATOPATHOLOGY LAB
1618 S MILLENNIUM WAY #220

MERIDIAN, ID 83642

#13D2047540
(208) 991-5665 1/19/2020 Other
Compliance
ADAMS COUNTY HEALTH CENTER INC
205 N BERKLEY ST

COUNCIL, ID 83612

#13D0521251
(208) 253-4242 3/23/2021 Federally Qualified Health Center
PPM
ADVANCED CLINICAL RESEARCH
2950 E MAGIC VIEW DR #182

MERIDIAN, ID 83642

#13D1029013
(208) 377-8653 5/16/2020 Other
Compliance
ADVANCED DERMATOLOGY
1700 W RIVERSTONE DR

COEUR D'ALENE, ID 83814

#13D2032958
(509) 456-7414 3/25/2021 Physician Office
Waiver
ADVANCED EYECARE
901 12TH AVE S

NAMPA, ID 83651

#13D2041621
(208) 466-9251 5/24/2020 Physician Office
PPM
ADVANCED FAMILY MEDICINE
943 N LINDER RD #103

KUNA, ID 83634

#13D1027123
(208) 922-3355 5/30/2021 Physician Office
Waiver
ADVANCED HEALTH CARE OF COEUR D'ALENE
1578 W RIVERSTONE DR

COEUR D'ALENE, ID 83814

#13D2121977
(208) 451-2800 11/16/2020 Skilled Nursing Facility/Nursing Facility
Waiver
ADVANCED HEALTH CARE OF LEWISTON
2852 JUNIPER DR

LEWISTON, ID 83501

#13D2142619
(208) 717-1025 1/15/2020 Skilled Nursing Facility/Nursing Facility
Waiver
ADVANCED HOME CARE OF COEUR D'ALENE
1578 W RIVERSTONE DR

COEUR D'ALENE, ID 83814

#13D2134125
(208) 769-0500 7/25/2021 Health Maintenance Organization
Waiver
ADVANCED HOME HEALTH
2110 NIAGARA ST

IDAHO FALLS, ID 83404

#13D2006736
(208) 346-7807 4/27/2020 Home Health Agency
Waiver
ADVANCED SPECIALTY CARE FOR WOMEN
16111 N BRINSON ST STE #110

NAMPA, ID 83687

#13D0951207
(208) 468-9400 11/7/2020 Physician Office
Waiver
ADVANTAGE EYE CENTERS
2550 S 25TH E

IDAHO FALLS, ID 83404

#13D2069636
(208) 552-7323 11/28/2021 Physician Office
Waiver
AESTHETIC EYE PC
3357 W BAVARIA ST

EAGLE, ID 83616

#13D2063119
(208) 939-2939 7/25/2021 Physician Office
Waiver
AFS HOME HEALTH LLC
530 PINE ST

SANDPOINT, ID 83864

#13D2031781
(208) 255-1640 10/26/2021 Home Health Agency
Waiver
AIR IDAHO RESCUE
800 E HIGHWAY 30

SODA SPRINGS, ID 83276

#13D2104186
(402) 540-1774 10/28/2021 Ambulance
Waiver
AIR IDAHO RESCUE
1 CENTER HANGER RD

SALMON, ID 83467

#13D2167108
(402) 290-8705 6/2/2021 Ambulance
Waiver
AIR IDAHO RESCUE-DRIGGS
253 WARBIRD LN

DRIGGS, ID 83422

#13D2104199
(402) 540-1774 10/28/2021 Ambulance
Waiver
AIR IDAHO RESCUE-IDAHO FALLS
1940 INTERNATIONAL WAY

IDAHO FALLS, ID 83402

#13D2104196
(402) 540-1774 10/28/2021 Ambulance
Waiver
AIR ST LUKE'S - MAGIC VALLEY
801 POLE LINE RD W

TWIN FALLS, ID 83301

#13D2068834
(208) 814-1770 11/12/2021 Ambulance
Compliance
AIR ST LUKE'S - TREASURE VALLEY
4000 S ORCHARD ST

BOISE, ID 83705

#13D2068835
(208) 381-8794 11/11/2021 Ambulance
Waiver
AIR ST LUKE'S - WOOD RIVER
100 HOSPITAL DR

KETCHUM, ID 83340

#13D2068746
(208) 381-8790 11/11/2021 Ambulance
Waiver
AKOS MED CLINIC
3499 E FAIRVIEW AVE

MERIDIAN, ID 83642

#13D2171023
(602) 796-2320 8/22/2021 Ancillary Testing Site
Waiver
ALAMEDA VISION CENTER
1155 POCATELLO CREEK RD

POCATELLO, ID 83201

#13D2067990
(208) 233-2020 10/24/2021 Physician Office
Compliance
ALAN OLMSTEAD MD CHTD
844 N WASHINGTON ST N STE 100

TWIN FALLS, ID 83301

#13D0978175
(208) 734-6800 10/11/2020 Physician Office
PPM
ALAN S NELSON DO
1404 POMERELLE AVE STE A2

BURLEY, ID 83318

#13D0943420
(208) 878-8817 3/23/2021 Physician Office
Waiver
ALBERTSON'S PHARMACY #199
1219 BROADWAY AVE

BOISE, ID 83706

#13D1035486
(208) 433-9905 1/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-0N PHARMACY #156
7100 W STATE ST

BOISE, ID 83703

#13D1035811
(208) 853-2606 1/10/2021 Pharmacy
Waiver
ALBERTSON'S SAV-0N PHARMACY #176
2400 12TH AVENUE RD

NAMPA, ID 83686

#13D1036454
(208) 403-2903 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-0N PHARMACY #180
3301 W CHERRY LANE

MERIDIAN, ID 83642

#13D1045750
(208) 884-5475 9/21/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #101
1650 W STATE ST

BOISE, ID 83702

#13D1035402
(208) 344-8660 1/2/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #103
415 CLEVELAND BLVD

CALDWELL, ID 83605

#13D1035485
(208) 459-1756 1/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #126
640 HIGHWAY 16

EMMETT, ID 83617

#13D1035563
(208) 365-4128 1/4/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #130
911 MAIN ST N

HAILEY, ID 83333

#13D1035564
(208) 788-6713 1/4/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #138
590 E 17TH ST

IDAHO FALLS, ID 83401

#13D1035616
(208) 523-1090 1/5/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #154
1520 N COLE RD

BOISE, ID 83704

#13D1035617
(208) 375-8386 1/5/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #159
330 E BENTON ST

POCATELLO, ID 83201

#13D1002737
(208) 233-0651 8/13/2020 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #160
10500 OVERLAND RD

BOISE, ID 83709

#13D1045515
(208) 376-1382 9/15/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #1602
715 12TH AVE S

NAMPA, ID 83651

#13D1035403
(208) 466-3592 1/2/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #161
10700 USTICK RD

BOISE, ID 83713

#13D1035862
(208) 322-7788 1/12/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #162
5100 OVERLAND RD

BOISE, ID 83705

#13D1045513
(208) 343-1696 9/15/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #164
20 E FAIRVIEW AVE

MERIDIAN, ID 83642

#13D1036020
(208) 888-4414 1/17/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #165
528 N MAIN ST

MOUNTAIN HOME, ID 83647

#13D1036022
(208) 587-3365 1/17/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #166
2500 BLAINE ST

CALDWELL, ID 83605

#13D1036187
(208) 454-0484 4/11/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #168
405 S 8TH ST

PAYETTE, ID 83661

#13D1036470
(208) 642-9331 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #169
909 EAST PARKCENTER BLVD

BOISE, ID 83706

#13D1036188
(208) 338-3722 1/23/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #171
490 N 2ND E

REXBURG, ID 83440

#13D1096461
(208) 542-2088 3/4/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #177
4700 N EAGLE RD

BOISE, ID 83713

#13D1065166
(208) 939-5149 2/22/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #182
250 S EAGLE RD

EAGLE, ID 83616

#13D1045752
(208) 393-9854 9/21/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #184
6560 S FEDERAL WAY

BOISE, ID 83716

#13D1036458
(208) 429-1088 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #189
3614 W STATE ST

BOISE, ID 83703

#13D1036460
(208) 426-9639 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #193
1653 S VISTA AVE

BOISE, ID 83705

#13D1036462
(208) 331-3007 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #238
1024 21ST ST

LEWISTON, ID 83501

#13D1036464
(208) 743-1529 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #254
197 W PRAIRIE AVE

HAYDEN, ID 83835

#13D1036468
(208) 722-7864 2/3/2021 Pharmacy
Waiver
ALBERTSON'S SAV-ON PHARMACY #3174
1901 S 25TH E

AMMON, ID 83406

#13D1036189
(208) 524-1616 1/23/2021 Pharmacy
Waiver
ALBERTSONS PHARMACY #3195
3499 E FAIRVIEW AVE

MERIDIAN, ID 83642

#13D2161273
(208) 605-3755 1/29/2021 Pharmacy
Waiver
ALL CARE HEALTH SOLUTIONS
815 S BRIDGEWAY PLACE #122

EAGLE, ID 83616

#13D2024577
(208) 473-2717 5/18/2021 Home Health Agency
Waiver
ALLIANCE HOME HEALTH CARE
1655 1ST STREET

IDAHO FALLS, ID 83401

#13D2126133
(208) 552-0249 2/20/2021 Home Health Agency
Waiver
ALLIANCE HOSPICE
1655 1ST STREET

IDAHO FALLS, ID 83401

#13D2126137
(208) 552-0249 2/20/2021 Hospice
Waiver
ALLIANCE PHYSICAL MEDICINE
1948 S EAGLE RD

MERIDIAN, ID 83642

#13D2159989
(208) 322-7900 1/1/2021 Physician Office
Waiver
ALLIED HEALTHCARE PLLC
3360 S 15TH E

IDAHO FALLS, ID 83404

#13D1049441
(208) 522-8300 1/14/2021 Other Practitioner
Waiver
ALPHA
575 N 8TH ST

BOISE, ID 83702

#13D1051913
(208) 424-7799 3/13/2020 Ambulance
Compliance
ALPINE DERMATOLOGY CLINIC
1049 SUMMERS DR

REXBURG, ID 83440

#13D1096028
(208) 359-4841 10/18/2021 Physician Office
Compliance
ALPINE DERMATOLOGY CLINIC PC
927 S UTAH AVE #200

IDAHO FALLS, ID 83402

#13D2068472
(208) 881-5241 3/16/2021 Physician Office
PPM
ALPINE FAMILY MEDICINE
1013 W LAKE STREET UNIT 103

SANDPOINT, ID 83864

#13D2133825
(208) 610-0814 7/19/2021 Other Practitioner
Waiver
ALTERNATIVE NURSING SERVICES, INC
1029 MAIN ST

LEWISTON, ID 83501

#13D2083844
(208) 746-3050 9/14/2020 Home Health Agency
Waiver
AMBULATORY SURGERY CENTER OF BURLEY
1344 HILAND AVE, STE E

BURLEY, ID 83318

#13D0969156
(208) 677-8888 1/4/2020 Ambulatory Surgery Center
Waiver
AMERIBEN MEDICAL MANAGEMENT
2888 W EXCURSION LN

MERIDIAN, ID 83642

#13D2036296
(208) 947-9589 2/5/2020 Insurance
Waiver
AMERICAN MOBILE DRUG TESTING
1200 W IRONWOOD DR #309

COEUR D'ALENE, ID 83814

#13D2001398
(208) 665-0067 12/17/2021 Mobile Laboratory
Accreditation
AMERICAN RED CROSS - LEWIS & CLARK REGION
5380 FRANKLIN RD

BOISE, ID 83705

#13D0957560
(503) 869-6391 11/11/2021 Blood Bank
Waiver
AMERIHEALTH QUICK CARE
1995 E 17TH ST

IDAHO FALLS, ID 83404

#13D2081860
(208) 357-9193 3/14/2021 Physician Office
Compliance
AMMON MEDICAL AND URGENT CARE
3456 E 17TH ST #125

AMMON, ID 83406

#13D0520880
(208) 529-2828 12/14/2020 Physician Office
PPM
AMY'S FAMILY HEALTH CENTER
219 PHIL MEADOR AVE

POCATELLO, ID 83202

#13D2149571
(208) 810-4715 6/5/2020 Physician Office
PPM
APB MEDICAL PC
222 N 2ND ST #304

BOISE, ID 83702

#13D0713742
(208) 342-7722 8/31/2020 Physician Office
Waiver
APEX CENTER
8211 USTICK ROAD

BOISE, ID 83704

#13D0703293
(208) 375-3700 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
APPLE FAMILY CARE
2106 N GOVERNMENT WAY

COEUR D'ALENE, ID 83814

#13D1087141
(208) 292-1315 7/27/2020 Physician Office
Waiver
APPLETON CLINIC IDAHO
1675 E RIVERSIDE DR STE 100

EAGLE, ID 83616

#13D2153966
(208) 900-9500 9/3/2020 Physician Office
Compliance
ARTHRITIS SPECIALTY CENTER
1448 E CENTER ST #B

POCATELLO, ID 83201

#13D2027091
(208) 234-1300 7/12/2020 Physician Office
Waiver
ASHTON LIVING CENTER
700 N 2ND ST

ASHTON, ID 83420

#13D0520974
(208) 652-7461 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
ASHTON MEDICAL CLINIC
23 S 8TH ST

ASHTON, ID 83420

#13D0520973
(208) 652-3396 3/18/2021 Physician Office
Waiver
ASHWOOD NAMPA
847 PARK CENTRE WAY

NAMPA, ID 83651

#13D2171717
(208) 229-6050 9/8/2021 Other
Waiver
ASHWOOD RECOVERY
7941 W RIFLEMAN ST

BOISE, ID 83704

#13D2026679
(208) 895-7950 7/6/2021 Comp Outpatient Rehab Facility
Waiver
ASPEN HOME CARE & HOSPICE
2867 E COPPER POINT DR

MERIDIAN, ID 83642

#13D1089027
(208) 401-9153 9/8/2020 Home Health Agency
Waiver
ASPEN HOME HEALTH & HOSPICE
3470 WASHINGTON PKWY

IDAHO FALLS, ID 83404

#13D0957690
(208) 523-9887 2/24/2021 Home Health Agency
Waiver
ASPEN TRANSITIONAL REHAB
2867 E COPPER POINT DR

MERIDIAN, ID 83642

#13D1044328
(208) 401-9100 8/15/2021 Skilled Nursing Facility/Nursing Facility
Waiver
ASPIRE HUMAN SERVICES
12553 W EXPLORER DR #190

BOISE, ID 83713

#13D1002539
(208) 855-9142 8/8/2020 Intermediate Care Fac For Mentally Retarded
PPM
ASR LLC
16111 N BRINSON ST STE 110

NAMPA, ID 83687

#13D2163309
(208) 906-1600 3/11/2021 Other
PPM
ASSOCIATES IN FAMILY PRACTICE
410 N IDAHO ST

WENDELL, ID 83355

#13D1009047
(208) 536-6663 2/4/2021 Physician Office
Waiver
ASSOCIATES IN FAMILY PRACTICE - GOODING
425 IDAHO ST

GOODING, ID 83330

#13D0890585
(208) 934-4800 1/12/2020 Physician Office
Waiver
ASSOCIATES IN FAMILY PRACTICE - HAGERMAN
640 FROG'S LANDING

HAGERMAN, ID 83332

#13D0970670
(208) 837-6161 8/7/2020 Community Clinic
Compliance
ASTHMA & ALLERGY OF IDAHO
714 W APPLEWAY AVE #200

COEUR D'ALENE, ID 83814

#13D1057951
(208) 665-1552 7/2/2021 Physician Office
Waiver
ASTHMA & ALLERGY OF IDAHO - TWIN FALLS
800 FALLS AVE SUITE 2

TWIN FALLS, ID 83301

#13D0672553
(208) 734-6092 8/14/2021 Physician Office
Waiver
AUBURN CREST HOSPICE
3751 N CLOVERDALE RD

BOISE, ID 83713

#13D2051925
(208) 321-5073 1/1/2021 Hospice
Waiver
AUBURN CREST HOSPICE & AUBURN CREST HOME HEALTH
397 BLUE LAKES BLVD N

TWIN FALLS, ID 83301

#13D2109002
(208) 735-7450 2/16/2020 Hospice
Waiver
AUBURN CREST HOSPICE - POST FALLS
1221 W IRONWOOD DR STE 102

COEUR D'ALENE, ID 83814

#13D2046431
(208) 773-7731 9/3/2020 Hospice
Waiver
AUBURN CREST HOSPICE - TREASURE VALLEY
3751 N CLOVERDALE BLVD

BOISE, ID 83713

#13D2063932
(208) 321-5073 8/11/2021 Hospice
Waiver
AURA COUNSELING AND WELLNES LLC
3050 12TH AVE RD

NAMPA, ID 83686

#13D2124531
(208) 463-4639 1/18/2021 Comp Outpatient Rehab Facility
Waiver
AVALON HOME HEALTH AND HOSPICE
3767 PROFESSIONAL WAY

IDAHO FALLS, ID 83402

#13D2041561
(208) 538-0114 5/23/2020 Home Health Agency
Waiver
AVAMERE TRANSITIONAL CARE & REHABILITATION
1001 S HILTON ST

BOISE, ID 83705

#13D0522283
(208) 345-4464 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
AXIS SPINE CENTER
1641E POLSTON AVE STE 101

POST FALLS, ID 83854

#13D2123963
(208) 696-2225 1/5/2021 Physician Office
Waiver
BACK COUNTRY CHIROPRACTIC & WELLNESS
201 PARK STREET

MC CALL, ID 83638

#13D1025447
(208) 634-8129 5/6/2020 Other Practitioner
Waiver
BADGER MEDICAL - 3-B JUVENILE
950 ENVIRONMENTAL WAY

IDAHO FALLS, ID 83401

#13D2085018
(208) 552-9831 10/5/2020 Other
Waiver
BADGER MEDICAL - BINGHAM COUNTY JAIL
501 N MAPLE ST

BLACKFOOT, ID 83221

#13D2084993
(208) 552-9831 10/5/2020 Other
Waiver
BADGER MEDICAL - BONNEVILLE COUNTY JAIL
900 ENVIRONMENTAL WAY

IDAHO FALLS, ID 83401

#13D2084985
(208) 552-9831 10/5/2020 Other
Waiver
BADGER MEDICAL - JEFFERSON COUNTY JAIL
200 COURTHOUSE WAY

RIGBY, ID 83442

#13D2084987
(208) 552-9831 10/5/2020 Other
Waiver
BADGER MEDICAL - MADISON COUNTY JAIL
145 E MAIN ST

REXBURG, ID 83440

#13D2084996
(208) 552-9831 10/5/2020 Other
Waiver
BADGER MEDICAL - MERLIN OFFICE
3389 MERLIN DR

IDAHO FALLS, ID 83404

#13D2084991
(208) 552-9831 10/5/2020 Independent
PPM
BAKER FAMILY PRACTICE
1880 JOHN ADAMS PKWY

IDAHO FALLS, ID 83404

#13D0927131
(208) 524-6633 11/8/2020 Physician Office
Waiver
BANNOCK COUNTY AMBULANCE
408 E WHITMAN ST

POCATELLO, ID 83201

#13D0700359
(208) 234-6200 8/31/2020 Other
Waiver
BANNOCK COUNTY DETENTION CENTER-MEDICAL
5800 S 5TH AVE

POCATELLO, ID 83204

#13D1101252
(208) 236-6504 6/22/2021 Prison
Compliance
BEACON PAIN CLINIC
115 W MAIN ST STE 201

BOISE, ID 83702

#13D2015997
(208) 342-2104 3/14/2020 Physician Office
PPM
BEAR LAKE COMMUNITY HEALTH CENTER-MONTPELIER
152 S 4TH ST

MONTPELIER, ID 83254

#13D2101360
(208) 847-2108 8/31/2021 Federally Qualified Health Center
Compliance
BEAR LAKE MEMORIAL HOSPITAL
164 S 5TH ST

MONTPELIER, ID 83254

#13D0520463
(208) 847-4422 4/22/2021 Hospital
Waiver
BEAR RIVER CHIROPRACTIC
45 W CENTER ST

SODA SPRINGS, ID 83276

#13D2058933
(208) 547-4518 5/14/2021 Physician Office
Waiver
BEE HAPPY PEDIATRICS PLLC
3412 SOUTH 25TH EAST

IDAHO FALLS, ID 83404

#13D2147515
(208) 497-0680 4/19/2020 Other Practitioner
Waiver
BELL MOUNTAIN VILLAGE AND CARE CENTER
620 N 6TH ST

BELLEVUE, ID 83313

#13D1037362
(800) 261-2443 2/22/2021 Skilled Nursing Facility/Nursing Facility
Waiver
BELLA FAMILY HEALTHCARE & AESTHETICS LLC
1545 LEIGHFIELD STE 100

MERIDIAN, ID 83646

#13D2172574
(208) 957-6871 9/24/2021 Independent
Compliance
BENEWAH COMMUNITY HOSPITAL
229 S 7TH ST

SAINT MARIES, ID 83861

#13D0522334
(208) 245-7636 6/6/2021 Hospice
Waiver
BENGAL LABORATORY AT IDAHO STATE
921 S 8TH AVE STOP 8299
BOX 8158
POCATELLO, ID 83202

#13D2109375
(208) 251-6260 12/4/2021 Health Fair
Waiver
BENGAL PHARMACY
990 SOUTH 8TH AVENUE

POCATELLO, ID 83209

#13D2149772
(208) 282-3407 6/10/2020 Pharmacy
Waiver
BENNETT HILLS REHABILITATION AND CARE CENTER
1220 MONTANA STREET

GOODING, ID 83330

#13D2018492
(208) 934-5601 1/6/2021 Skilled Nursing Facility/Nursing Facility
Waiver
BERNARD BOEHMER MD PA
1335 ALBION AVE

BURLEY, ID 83318

#13D0520642
(208) 678-2271 9/8/2021 Physician Office
Waiver
BEST HOME CARE AND STAFFING
16211 N BRINSON ST STE 130

NAMPA, ID 83687

#13D2174639
(208) 466-9778 11/4/2021 Home Health Agency
Waiver
BINGHAM HEALTH CARE
353 N 4TH AVE #102

POCATELLO, ID 83201

#13D1002129
(208) 478-7900 8/24/2020 Physician Office
Waiver
BINGHAM HEALTHCARE SPECIALTY CLINIC-17TH ST
1740 E 17TH STREET

IDAHO FALLS, ID 83404

#13D2112574
(208) 785-3861 5/2/2020 Physician Office
PPM
BINGHAM HEALTHCARE SPECIALTY CLINIC-BANNOCK
1595 S BANNOCK HWY

POCATELLO, ID 83204

#13D2072091
(208) 478-2449 11/30/2021 Physician Office
Waiver
BINGHAM HEALTHCARE SPECIALTY CLINIC-TERRY ST
2302 E TERRY ST

POCATELLO, ID 83204

#13D2107961
(208) 235-5910 1/25/2020 Physician Office
Waiver
BINGHAM HEALTHCARE SPECIALTY CLINIC-VALENCIA
3302 VALENCIA DR

IDAHO FALLS, ID 83404

#13D2037889
(208) 543-7200 12/19/2020 Community Clinic
PPM
BINGHAM HEALTHCARE SPECIALTY CLINIC-WASHINGTON
3760 WASHINGTON PKWY

IDAHO FALLS, ID 83404

#13D2137030
(208) 535-3637 9/18/2021 Physician Office
Accreditation
BINGHAM MEMORIAL HOSPITAL LAB
98 POPLAR ST

BLACKFOOT, ID 83221

#13D0056444
(208) 785-3860 1/2/2021 Hospital
Waiver
BINGHAM MEMORIAL HOSPITAL PHARMACY
98 POPLAR ST

BLACKFOOT, ID 83221

#13D2146710
(208) 782-3955 4/3/2020 Pharmacy
Compliance
BIOLIFE PLASMA SERVICES - BOISE
4120 N EAGLE RD

BOISE, ID 83713

#13D2061664
(208) 938-5500 4/23/2020 Other
Compliance
BIOLIFE PLASMA SERVICES LP
8300 N CORNERSTONE DR

HAYDEN, ID 83835

#13D2019328
(208) 762-2486 3/25/2021 Other
Compliance
BIOLIFE PLASMA SERVICES LP - AMMON
2385 S 25TH E

AMMON, ID 83406

#13D1084280
(208) 542-2406 10/23/2020 Other
Compliance
BIOLIFE PLASMA SERVICES, LP
16558 N MIDLAND BLVD

NAMPA, ID 83687

#13D2096425
(208) 463-1331 9/13/2020 Other
Accreditation
BIOMAT USA INC - BOISE
4017 OVERLAND RD

BOISE, ID 83705

#46D0521897
(208) 338-0613 6/4/2021 Other
Accreditation
BIOMAT USA INC - POCATELLO
425 E CENTER ST

POCATELLO, ID 83201

#13D0934340
(208) 233-3888 11/19/2021 Other
Accreditation
BIOMAT USA INC - REXBURG
48 E MAIN ST

REXBURG, ID 83440

#13D0922940
(208) 359-1800 5/21/2021 Other
Waiver
BIRTHRIGHT OF BOISE
1101 N 28TH ST #A

BOISE, ID 83702

#13D0699606
(208) 342-1898 8/31/2020 Other
Waiver
BIRTHRIGHT OF COEUR D'ALENE
923 E SHERMAN AVE

COEUR D'ALENE, ID 83814

#13D0669563
(208) 664-1390 8/31/2020 Other
Waiver
BIRTHRIGHT OF IDAHO FALLS
1970 E17TH ST SUITE 111-D

IDAHO FALLS, ID 83404

#13D0914305
(208) 524-8929 4/24/2020 Other
Waiver
BITTERROOT HOME
1806 BITTERROOT DR

TWIN FALLS, ID 83301

#13D2040703
(208) 734-8973 5/7/2020 Intermediate Care Fac For Mentally Retarded
Waiver
BLACK CANYON MEDICAL GROUP
426 HWY 16

EMMETT, ID 83617

#13D2133847
(208) 365-2735 7/19/2021 Physician Office
Compliance
BLACKFOOT MEDICAL CENTER
1441 PARKWAY DR

BLACKFOOT, ID 83221

#13D0673165
(208) 785-8166 11/24/2021 Rural Health Clinic
Waiver
BLAINE COUNTY JAIL-MEDICAL
1650 AVIATION DR

HAILEY, ID 83333

#13D2004717
(208) 788-5561 10/28/2021 Prison
Waiver
BLAKEVIEW HOME
162 BLAKE ST N

TWIN FALLS, ID 83301

#13D2141824
(208) 734-8973 12/20/2021 Intermediate Care Fac For Mentally Retarded
PPM
BOISE DERMATOLOGY
3109 S MERIDIAN RD

MERIDIAN, ID 83642

#13D2131475
(208) 888-0660 5/29/2021 Physician Office
PPM
BOISE FAMILY MEDICINE LLC
10798 W OVERLAND RD

BOISE, ID 83709

#13D0698151
(208) 377-3368 2/4/2020 Physician Office
Waiver
BOISE GROUP HOMES
146 S COLE RD

BOISE, ID 83709

#13D1064879
(208) 376-1861 2/14/2021 Intermediate Care Fac For Mentally Retarded
PPM
BOISE KIDNEY & HYPERTENSION - CALDWELL
4620 E ENTERPRISE WAY #101

CALDWELL, ID 83605

#13D2007328
(208) 846-8335 5/12/2020 Physician Office
PPM
BOISE KIDNEY & HYPERTENSION INSTITUTE
3525 E LOUISE DR #100

MERIDIAN, ID 83642

#13D2080513
(208) 846-8335 7/8/2020 Physician Office
PPM
BOISE KIDNEY & HYPERTENSION INSTITUTE
3525 E LOUISE DR #195

MERIDIAN, ID 83642

#13D1054941
(208) 846-8335 6/5/2020 Physician Office
PPM
BOISE KIDNEY & HYPERTENSION INSTITUTE
4424 E FLAMINGO AVE STE 340

NAMPA, ID 83687

#13D2145249
(208) 846-8335 3/4/2020 Physician Office
PPM
BOISE KIDNEY & HYPERTENSION INSTITUTE - BOISE
1109 W MYRTLE ST #100

BOISE, ID 83702

#13D2007327
(208) 846-8335 5/12/2020 Physician Office
Waiver
BOISE NATURAL HEALTH
4219 W EMERALD ST

BOISE, ID 83706

#13D1065501
(208) 338-0405 10/28/2020 Other Practitioner
Waiver
BOISE OSTEOPATHIC MEDICAL CLINIC
7685 W EMERALD ST

BOISE, ID 83704

#13D2122047
(208) 376-2522 11/17/2020 Physician Office
PPM
BOISE SKIN CLINIC, PLLC
1636 HADLEY AVE

BOISE, ID 83709

#13D2091363
(208) 258-2078 7/12/2021 Physician Office
PPM
BOISE STATE UNIVERSITY HEALTH SERVICES
1529 BELMONT ST

BOISE, ID 83725

#13D0699793
(208) 426-1459 1/31/2021 School/Student Health Service
Waiver
BOISE THYROID-ENDOCRINOLOGY
1759 S MILLENIUN WAY

MERIDIAN, ID 83642

#13D2087312
(208) 387-6546 11/19/2020 Physician Office
Compliance
BONNER GENERAL HOSPITAL
520 N THIRD AVE

SANDPOINT, ID 83864

#13D0522371
(208) 263-1441 2/22/2020 Hospital
Waiver
BONNER GENERAL IMMEDIATE CARE
400 SCHWEITZER PLAZA RD #1

PONDERAY, ID 83852

#13D1037922
(208) 263-0649 2/19/2020 Community Clinic
Waiver
BONNER PARTNERS IN CARE CLINIC
2101 PINE STREET

SANDPOINT, ID 83864

#13D2088880
(208) 255-9099 12/16/2020 Community Clinic
PPM
BONNERS FERRY FAMILY MEDICINE
6488 CHINOOK ST

BONNERS FERRY, ID 83805

#13D1068553
(208) 267-8710 5/14/2021 Physician Office
Waiver
BORRON FAMILY MEDICINE LLC
790 W USTICK RD #110

MERIDIAN, ID 83646

#13D2013562
(208) 639-3990 9/21/2020 Other Practitioner
Waiver
BOUNDARY COMMUNITY CLINICS
6641 KANIKSU ST #A

BONNERS FERRY, ID 83805

#13D0998799
(208) 267-3655 2/15/2020 Physician Office
Compliance
BOUNDARY COMMUNITY HOSPITAL
6640 KANIKSU ST

BONNERS FERRY, ID 83805

#13D0056658
(208) 267-4853 5/17/2021 Hospital
Waiver
BRAD C ERIKSON FAMILY PRACTICE
2375 SUNNYSIDE RD STE J

IDAHO FALLS, ID 83404

#13D2135656
(208) 542-7060 8/23/2021 Physician Office
Waiver
BRICK HOUSE RECOVERY
3663 N LAKEHARBOR LN

BOISE, ID 83703

#13D2083849
(208) 286-4274 11/26/2021 Other
Waiver
BRIDGE ASSISTED LIVING, THE
1123 N DIVISION ST

SANDPOINT, ID 83864

#13D2061669
(208) 263-1524 7/1/2021 Assisted Living Facility
Waiver
BRIDGE VIEW ESTATES
1828 BRIDGE VIEW BLVD

TWIN FALLS, ID 83301

#13D0861191
(208) 736-3933 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
BRIDGEWAY HEALTH SERVICES
1032 S BRIDGEWAY PLACE #110

EAGLE, ID 83616

#13D2013844
(208) 475-0800 9/23/2020 Physician Office
Waiver
BRIO IDAHO HOME HEALTH LLC
2470 JAFER CT

IDAHO FALLS, ID 83404

#13D2130644
(208) 538-2223 5/14/2021 Home Health Agency
Waiver
BRIO IDAHO HOSPICE LLC
2470 JAFER CT

IDAHO FALLS, ID 83404

#13D2119347
(208) 538-2223 9/25/2020 Hospice
PPM
BRIZZEE FAMILY MEDICINE
2010 FLANDRO DR

POCATELLO, ID 83202

#13D2011099
(208) 238-0600 8/10/2020 Physician Office
Waiver
BROOKDALE AT TWIN FALLS
1367 LOCUST ST N

TWIN FALLS, ID 83301

#13D2091359
(208) 735-0700 2/10/2021 Assisted Living Facility
Waiver
BROOKDALE LEWISTON
2975 JUNIPER DR

LEWISTON, ID 83501

#13D2132897
(208) 743-8865 6/28/2021 Assisted Living Facility
Waiver
BROULIM'S PHARMACY #16
1855 W BROADWAY ST

IDAHO FALLS, ID 83402

#13D2167139
(208) 529-3638 6/2/2021 Pharmacy
Waiver
BROULIM'S PHARMACY #17
3160 E 17TH ST STE 164

AMMON, ID 83406

#13D2167140
(208) 529-1795 6/2/2021 Pharmacy
Waiver
BROULIM'S PHARMACY #5
301 ASPEN SQUARE

SAINT ANTHONY, ID 83445

#13D2167279
(208) 624-3158 6/4/2021 Pharmacy
Waiver
BROULIMS PHARMACY #1
150 NORTH STATE STREET

RIGBY, ID 83442

#13D2135566
(208) 745-0267 8/22/2021 Pharmacy
Waiver
BROULIMS PHARMACY #10
89 W 2ND SOUTH

SODA SPRINGS, ID 83276

#13D2140234
(208) 745-0267 11/15/2021 Pharmacy
Waiver
BROULIMS PHARMACY #2
130 SOUTH 4TH ST

MONTPELIER, ID 83254

#13D2140230
(208) 745-0267 11/15/2021 Pharmacy
Waiver
BROULIMS PHARMACY #6
124 WEST MAIN ST

REXBURG, ID 83440

#13D2136415
(208) 356-5416 9/7/2021 Pharmacy
Waiver
BROULIMS PHARMACY #7
240 SOUTH MAIN ST

DRIGGS, ID 83422

#13D2140231
(208) 745-0267 11/15/2021 Pharmacy
Waiver
BROULIMS PHARMACY #8
2730 E SUNNYSIDE

AMMON, ID 83406

#13D2140232
(208) 745-0267 11/15/2021 Pharmacy
Waiver
BROULIMS PHARMCAY #9
570 S STATE ST

SHELLEY, ID 83274

#13D2140233
(208) 745-0267 11/15/2021 Pharmacy
Waiver
BURKE FAMILY CHIROPRACTIC IHS
1348 E 17TH ST

IDAHO FALLS, ID 83404

#13D2062084
(208) 542-6564 7/9/2021 Physician Office
Waiver
BURLEY DIALYSIS CENTER
741 N OVERLAND AVE

BURLEY, ID 83318

#13D0936392
(208) 677-5483 11/19/2021 End Stage Renal Disease Facility
Compliance
BYU - IDAHO STUDENT HEALTH CENTER
100 SHC

REXBURG, ID 83460

#13D0056537
(208) 496-9330 4/12/2020 School/Student Health Service
Waiver
CACHE CLINIC
852 VALLEY CENTRE DR

DRIGGS, ID 83422

#13D2119949
(208) 354-1156 10/5/2020 Other
Waiver
CALDWELL CARE OF CASCADIA
210 CLEVELAND BLVD

CALDWELL, ID 83605

#13D0704508
(208) 459-1522 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CALDWELL DIALYSIS CENTER
4716 BEACON LN

CALDWELL, ID 83605

#13D1092943
(208) 454-8260 12/7/2020 End Stage Renal Disease Facility
Waiver
CALDWELL IMMEDIATE CARE
2523 S 10TH AVE #103

CALDWELL, ID 83605

#13D2101043
(208) 455-7788 8/25/2021 Physician Office
PPM
CALDWELL UROLOGY
1906 FAIRVIEW AVE #350

CALDWELL, ID 83605

#13D0674117
(208) 454-9181 8/31/2020 Physician Office
Waiver
CAMPUS VIEW HOME
875 MONROE ST

TWIN FALLS, ID 83301

#13D2007767
(208) 734-8973 5/24/2020 Intermediate Care Fac For Mentally Retarded
Waiver
CANYON COUNTY AMBULANCE DISTRICT
6116 GRAYE LANE

CALDWELL, ID 83607

#13D1098212
(208) 795-6920 4/13/2021 Ambulance
Waiver
CANYON COUNTY COMMUNITY CLINIC
524 CLEVELAND BLVD STE 110

CALDWELL, ID 83605

#13D2063937
(208) 455-1143 8/11/2021 Community Clinic
Waiver
CANYON COUNTY OF CASCADIA
2105 12TH AVENUE RD

NAMPA, ID 83686

#13D0705360
(208) 467-5721 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CANYON HOME CARE & HOSPICE
929 NW 16TH STREET

FRUITLAND, ID 83619

#13D2129179
(208) 642-1838 4/12/2021 Hospice
Waiver
CANYON WEST OF CASCADIA
2814 S INDIANA AVE

CALDWELL, ID 83605

#13D0861690
(208) 459-0808 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CAPITAL EYE CARE
6700 W EMERALD ST

BOISE, ID 83704

#13D2105779
(208) 336-7100 12/2/2019 Physician Office
Registration
CARDIAC CATH LAB OF IDAHO FALLS LLC
3302 VALENCIA DR STE 101B

IDAHO FALLS, ID 83404

#13D2156808
(713) 822-0223 10/24/2020 Physician Office
Waiver
CARE AT HOME DBA CANYON HOME CARE & HOSPICE
929 NW 16TH ST

FRUITLAND, ID 83619

#13D2035328
(208) 642-1838 1/16/2020 Home Health Agency
Waiver
CARE CENTER NAMPA INC
1127 CALDWELL BLVD

NAMPA, ID 83651

#13D0672043
(208) 465-4935 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CARES
417 S 6TH ST

BOISE, ID 83702

#13D1056288
(208) 577-4460 7/11/2020 Other
PPM
CARIBOU MEDICAL CLINIC
300 S 3RD W

SODA SPRINGS, ID 83276

#13D0520488
(208) 547-4961 3/5/2021 Physician Office
Compliance
CARIBOU MEMORIAL HOSPITAL
300 S 3RD W

SODA SPRINGS, ID 83276

#13D0520487
(208) 547-2784 4/15/2021 Hospital
Waiver
CASCADE FAMILY PRACTICE
402 LAKE CASCADE PKWY

CASCADE, ID 83611

#13D2051293
(208) 382-3868 12/16/2020 Rural Health Clinic
Compliance
CASCADE MEDICAL CENTER
402 LAKE CASCADE PKWY

CASCADE, ID 83611

#13D0703662
(208) 382-4242 2/28/2021 Rural Health Clinic
Waiver
CASCADIA OF BOISE
6000 W DENTON ST

BOISE, ID 83704

#13D2146070
(208) 401-9600 3/20/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CASCADIA OF NAMPA
900 NORTH HAPPY VALLEY RD

NAMPA, ID 83687

#13D2134513
(208) 407-9600 8/2/2021 Skilled Nursing Facility/Nursing Facility
PPM
CASSIA FAMILY PRACTICE & OBSTETRICS
1501 HILAND AVE #N

BURLEY, ID 83318

#13D0684377
(208) 678-2283 6/28/2020 Physician Office
Accreditation
CASSIA REGIONAL HOSPITAL
1501 HILAND AVE

BURLEY, ID 83318

#13D0520657
(208) 677-6490 1/2/2021 Hospital
Registration
CATALYST MEDICAL GROUP-VALLEY MEDICAL CENTER
2315 8TH STREET

LEWISTON, ID 83501

#13D0521141
(208) 746-3101 1/1/2021 Physician Office
PPM
CENTENNIAL JOB CORPS
3201 RIDGECREST DR

NAMPA, ID 83687

#13D0940421
(208) 442-4533 2/9/2020 School/Student Health Service
Waiver
CENTER FOR COMMUNITY & JUSTICE
4696 W OVERLAND RD #226

BOISE, ID 83705

#13D2014998
(208) 378-1368 10/19/2020 Other
PPM
CENTER FOR LIFETIME HEALTH
300 E BANNOCK ST

BOISE, ID 83712

#13D1033411
(208) 342-7400 11/8/2020 Physician Office
Waiver
CENTER FOR PLASTIC SURGERY
1880 FILLMORE ST

TWIN FALLS, ID 83301

#13D2014600
(208) 735-8386 10/12/2020 Ambulatory Surgery Center
PPM
CENTRAL DISTRICT HEALTH DEPT
707 N ARMSTRONG PL

BOISE, ID 83704

#13D0521914
(208) 327-7400 12/10/2021 Public Health Laboratory
PPM
CHALLIS AREA HEALTH CENTER
611 CLINIC RD

CHALLIS, ID 83226

#13D0666680
(208) 879-4351 2/3/2021 Community Clinic
Waiver
CHATEAU DRUG
451 4TH ST

KETCHUM, ID 83340

#13D2150657
(208) 726-2596 6/28/2020 Pharmacy
Waiver
CHERRY RIDGE CENTER
501 W IDAHO BLVD

EMMETT, ID 83617

#13D0671101
(208) 365-3597 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CHR PROGRAM - TRIBAL HEALTH FORT HALL
117 SHOSHONE DR

FORT HALL, ID 83203

#13D0860160
(208) 478-3967 8/31/2020 Ancillary Testing Site
PPM
CLAY CAMPBELL MD FAMILY PRACTICE
166 S 5TH ST

MONTPELIER, ID 83254

#13D0890013
(208) 847-3847 8/9/2020 Physician Office
Waiver
CLEAR CREEK HOME
797 CASWELL AVE W

TWIN FALLS, ID 83301

#13D2040585
(208) 734-8973 5/3/2020 Intermediate Care Fac For Mentally Retarded
Waiver
CLEARVIEW EYE CLINIC
2840 JUNIPER DR

LEWISTON, ID 83501

#13D2106862
(208) 746-5100 12/29/2021 Physician Office
Waiver
CLEARVIEW EYE CLINIC
2500 WEST A ST #202

MOSCOW, ID 83843

#13D2096373
(208) 882-4662 5/20/2021 Physician Office
Waiver
CLEARVIEW SURGERY CENTER
2840 JUNIPER DR

LEWISTON, ID 83501

#13D2099756
(208) 746-5100 7/30/2021 Ambulatory Surgery Center
Waiver
CLEARWATER COUNTY
1195 RIVERSIDE AVE

OROFINO, ID 83544

#13D2164045
(208) 476-3771 3/25/2021 Ambulance
Waiver
CLEARWATER GASTROENTEROLOGY
2517 17TH ST #B

LEWISTON, ID 83501

#13D2060604
(208) 743-4373 6/12/2021 Physician Office
Waiver
CLEARWATER HEALTH AND REHABILITATION
1204 SHRIVER RD

OROFINO, ID 83544

#13D0521184
(208) 476-4566 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
CLEARWATER PAPER MEDICAL CLINIC
805 MILL RD

LEWISTON, ID 83501

#13D0676843
(208) 799-1134 8/31/2020 Industrial
Compliance
CLEARWATER VALLEY HOSPITAL
301 CEDAR ST

OROFINO, ID 83544

#13D0521180
(208) 476-8035 5/12/2021 Hospital
Waiver
CLIFFORD AND CLARK FAMILY MEDICINE
4750 YELLOWSTONE AVE

CHUBBUCK, ID 83202

#13D2134030
(208) 251-0316 7/24/2021 Physician Office
Waiver
CLINICAL EDGE RESEARCH GROUP (CERG)
2001 SOUTH WOODRUFF AVE STE #9

IDAHO FALLS, ID 83404

#13D2162607
(208) 523-7622 2/25/2021 Physician Office
Waiver
CMH SPECIALTY CLINIC
296 SOUTH 3 WEST

SODA SPRINGS, ID 83276

#13D1080324
(208) 547-3341 2/19/2020 Community Clinic
Compliance
COEUR D'ALENE ARTHRITIS CLINIC
950 W IRONWOOD DR

COEUR D'ALENE, ID 83814

#13D0522197
(208) 765-5457 10/3/2021 Physician Office
Waiver
COEUR D'ALENE FOOT & ANKLE SURGERY CENTER
101 W IRONWOOD DRIVE #131

COEUR D'ALENE, ID 83814

#13D0903510
(208) 666-0814 7/23/2021 Ambulatory Surgery Center
Waiver
COEUR D'ALENE HEALTH OF CASCADIA
2514 N 7TH ST

COEUR D'ALENE, ID 83814

#13D0902002
(208) 664-8128 6/8/2021 Skilled Nursing Facility/Nursing Facility
Waiver
COEUR D'ALENE PEDIATRICS
700 W IRONWOOD DR #155

COEUR D'ALENE, ID 83814

#13D0522125
(208) 667-0585 6/30/2021 Physician Office
Compliance
COEUR D'ALENE PEDIATRICS
9095 N HESS ST

HAYDEN, ID 83835

#13D1091344
(208) 772-8940 6/22/2021 Physician Office
Waiver
COEUR D'ALENE PEDIATRICS OF POST FALLS
1300 E MULLAN AVE #1000

POST FALLS, ID 83854

#13D0949934
(208) 777-1330 6/30/2021 Physician Office
Waiver
COEUR D'ALENE PRIMARY CARE
1025 W IRONWOOD DR STE 3

COEUR D'ALENE, ID 83814

#13D2077897
(208) 215-2045 5/15/2020 Physician Office
Compliance
COLE DIAGNOSTICS - BOISE
7988 W MARIGOLD ST #150

BOISE, ID 83714

#13D1020051
(208) 472-1082 2/17/2020 Independent
Compliance
COLE DIAGNOSTICS - NAMPA
314 2ND ST S

NAMPA, ID 83651

#13D2010407
(208) 472-1082 1/11/2021 Independent
Waiver
COLLEGE OF IDAHO HEALTH SERVICES
2112 CLEVELAND BLVD

CALDWELL, ID 83605

#13D2041275
(208) 459-5200 5/20/2020 School/Student Health Service
Waiver
COMMUNICARE INC
40 W FRANKLIN RD, STE F

MERIDIAN, ID 83642

#13D0885724
(208) 888-1155 4/28/2020 Intermediate Care Fac For Mentally Retarded
Compliance
COMMUNITY CARE OF CHANNING WAY
2725 CHANNING WAY

IDAHO FALLS, ID 83404

#13D0926381
(208) 525-8448 2/5/2020 Community Clinic
Compliance
COMMUNITY CARE POCATELLO
1595 YELLOWSTONE AVE

POCATELLO, ID 83201

#13D1085881
(208) 233-0032 10/22/2020 Physician Office
Compliance
COMMUNITY CARE WEST SIDE
765 S UTAH AVE

IDAHO FALLS, ID 83402

#13D0520845
(208) 525-2600 2/6/2020 Community Clinic
Waiver
COMMUNITY FAMILY CLINIC
2100 ALAN STREET

IDAHO FALLS, ID 83404

#13D1043497
(208) 528-7655 1/19/2020 Federally Qualified Health Center
Waiver
COMMUNITY PCS PLLC
1680 ELK CREEK DR

IDAHO FALLS, ID 83404

#13D2165348
(208) 419-0182 4/24/2021 Other
Waiver
COMPLETE FAMILY CARE
10 MADISON PROFESSIONAL PARK

REXBURG, ID 83440

#13D2087556
(208) 656-9467 11/27/2020 Physician Office
Waiver
COMPLETE HOSPICE CARE OF BOISE, LLC
250 W BOBWHITE CT #130

BOISE, ID 83706

#13D2084759
(208) 391-2724 9/29/2020 Hospice
Registration
COMPREHENSIVE CARE PRIMARY CARE & WELLNESS CENTER
2375 E SUNNYSIDE RD STE F

IDAHO FALLS, ID 83404

#13D2162276
(208) 715-9990 2/19/2021 Physician Office
PPM
COMPREHENSIVE DERMATOLOGY OF IDAHO PLLC
16111 N BRINSON ST #100

NAMPA, ID 83687

#13D2033645
(208) 467-7546 12/6/2021 Physician Office
Waiver
CONSULTANTS IN EPILEPSY & NEUROLOGY PLLC
1499 W HAYS ST

BOISE, ID 83702

#13D1075634
(208) 275-8585 10/23/2021 Physician Office
Waiver
COPPER SPRINGS SENIOR LIVING
3570 EAST AMITY

MERIDIAN, ID 83642

#13D2147886
(208) 888-7030 4/29/2020 Other
Waiver
CORAM ALTERNATE SITE SERVICES, INC
11660 W EXECUTIVE DR

BOISE, ID 83706

#13D0989080
(208) 323-0381 7/16/2021 Home Health Agency
Waiver
CORRECTIONAL ALTERNATIVE PLACEMENT PROGRAM
15550 S PLEASANT VALLEY RD

KUNA, ID 83634

#13D2009604
(208) 336-9959 7/7/2020 Prison
PPM
COTTONWOOD FAMILY MEDICINE
100 COTTONWOOD CT #150

EAGLE, ID 83616

#13D2039751
(208) 995-2875 4/16/2020 Physician Office
Waiver
CR PRIME RESEARCH WING
187 EAST 13TH ST

IDAHO FALLS, ID 83404

#13D2147378
(208) 497-0600 4/17/2020 Physician Office
Waiver
CREEKSIDE TRANSITIONAL CARE AND REHABILITATION
1351 W PINE AVE

MERIDIAN, ID 83642

#13D0927134
(208) 888-7049 4/9/2021 Skilled Nursing Facility/Nursing Facility
Waiver
CREST HOME HEALTH & HOSPICE LLC
700 IRONWOOD DR #255

COEUR D'ALENE, ID 83814

#13D2053996
(208) 765-4343 2/11/2021 Hospice
Waiver
CREST HOME HEALTH INC
700 IRONWOOD DRIVE #255

COEUR D'ALENE, ID 83814

#13D0954700
(208) 765-4343 12/6/2020 Home Health Agency
Waiver
CRESTVIEW CARE CENTER
4024 MOUNTAIN LOOP

POCATELLO, ID 83204

#13D0996007
(208) 233-0016 2/5/2020 Intermediate Care Fac For Mentally Retarded
Waiver
CROSSOVER HEALTH
8000 S FEDERAL WAY MS 1-706

BOISE, ID 83716

#13D0900160
(949) 891-0328 8/28/2021 Physician Office
Compliance
CSL PLASMA INC
3419 N COLE RD

BOISE, ID 83704

#13D2147157
(208) 917-8619 4/18/2021 Other
Compliance
CT DERM PC
811 NW 12TH ST

FRUITLAND, ID 83619

#13D0996477
(208) 452-7450 4/29/2020 Physician Office
Waiver
DANA L NOFZIGER MD
709 FAIR STREET

BUHL, ID 83316

#13D0520623
(208) 543-8237 8/31/2020 Physician Office
PPM
DARIN L WEYRICH, MD PA
222 N 2ND ST #206

BOISE, ID 83702

#13D0521509
(208) 342-2516 3/7/2021 Physician Office
PPM
DAVID R HADLOCK, DO
496 SHOUP AVE W #C

TWIN FALLS, ID 83301

#13D0933160
(208) 735-0000 9/7/2021 Physician Office
PPM
DAVIS FAMILY MEDICINE
222 N 2ND ST #204

BOISE, ID 83702

#13D1041324
(208) 429-9100 5/30/2021 Physician Office
Waiver
DAYSTAR LABS
11255 W ROSELAKE ST

STAR, ID 83669

#13D0965154
(208) 407-2831 5/29/2020 Independent
Waiver
DEBBIE GARRATT FNP-C PLLC
640 2ND AVE B-2

KETCHUM, ID 83340

#13D2153969
(208) 928-8005 9/3/2020 Other Practitioner
PPM
DEBLIECK DERMATOLOGY
13176 W PERSIMMON LN

BOISE, ID 83713

#13D1044436
(208) 939-5030 1/23/2020 Physician Office
Waiver
DENNIS MARSHALL OD
1495 PARKWAY DR

BLACKFOOT, ID 83221

#13D2060603
(208) 785-3063 6/12/2021 Physician Office
PPM
DERMATOLOGY CENTER OF CANYON COUNTY
318 2ND ST S

NAMPA, ID 83651

#13D1025651
(208) 467-3006 11/6/2020 Physician Office
Compliance
DERMATOLOGY CLINIC OF IDAHO
7733 W EMERALD ST

BOISE, ID 83704

#13D0521865
(208) 939-4599 12/4/2020 Independent
Waiver
DERMATOLOGY CLINIC OF IDAHO - CASCADE
271 DUFFERS LN

CASCADE, ID 83611

#13D2087557
(208) 376-3220 11/27/2020 Physician Office
Compliance
DERMATOLOGY OF EASTERN IDAHO
703 RIGBY LAKE DR

RIGBY, ID 83442

#13D0917694
(208) 745-0200 4/6/2020 Physician Office
Waiver
DESERT VIEW CARE CENTER OF BUHL
820 SPRAGUE AVE

BUHL, ID 83316

#13D0676383
(208) 543-6401 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
DEVELOPMENTAL OPTIONS
415 S ARTHUR AVE

POCATELLO, ID 83204

#13D0699140
(208) 233-6833 8/31/2020 Intermediate Care Fac For Mentally Retarded
Registration
DIAGNOSTIC PATHOLOGY SERVICES INC
3614 E NEWBY #101

NAMPA, ID 83687

#13D2172990
(208) 466-2661 10/2/2021 Independent
Compliance
DIAGNOSTIC PATHOLOGY SERVICES, INC
16111 N BRINSON ST #100

NAMPA, ID 83687

#13D2091800
(208) 466-2661 9/19/2020 Independent
Compliance
DIGESTIVE HEALTH CLINIC LLC
6259 W EMERALD ST

BOISE, ID 83704

#13D0521878
(208) 489-1898 1/3/2021 Independent
Waiver
DISCOVERY REHABILITATION AND LIVING
600 SHANAFELT ST

SALMON, ID 83467

#13D0936400
(208) 756-8391 11/19/2021 Skilled Nursing Facility/Nursing Facility
Waiver
DISPATCHHEALTH-IDAHO PC
9300 W OVERLAND RD STE 150

BOISE, ID 83709

#13D2172474
(303) 500-1518 9/23/2021 Mobile Laboratory
PPM
DOCTORS CLINIC OF ELMORE COUNTY
2000 AMERICAN LEGION BLVD

MOUNTAIN HOME, ID 83647

#13D0938420
(208) 587-1500 7/9/2021 Physician Office
PPM
DOCTORS CLINIC PA
590 GIFFORD AVE

AMERICAN FALLS, ID 83211

#13D2056788
(208) 226-5147 4/2/2021 Physician Office
Waiver
DOCTORS HOSPICE OF IDAHO LLC
1552 N CRESTMONT DR STE B

MERIDIAN, ID 83642

#13D2131891
(208) 985-2260 6/6/2021 Hospice
PPM
DON J SCHMITT MD
1110 W IRONWOOD DR

COEUR D'ALENE, ID 83814

#13D0522068
(208) 666-2559 6/1/2020 Physician Office
Waiver
DR ASHAYE'S OFFICE
2365 E GALA ST #2

MERIDIAN, ID 83642

#13D2040558
(208) 288-2280 5/2/2020 Physician Office
Waiver
DR BRYAN W MCLELLAND DDS PS
602 N CALGARY CT #202

POST FALLS, ID 83854

#13D2106902
(509) 922-2273 12/30/2021 Physician Office
PPM
DR M COLE JOHNSON, DO
526 SHOUP AVE W #D

TWIN FALLS, ID 83301

#13D0999488
(208) 733-1112 5/13/2020 Physician Office
Waiver
DR RICHARD A BLATTER DO
2001 S WOODRUFF AVE #4

IDAHO FALLS, ID 83404

#13D0520883
(208) 524-4511 9/6/2020 Physician Office
Waiver
DR WINTER OFFICE
1624 WEST SELTICE WAY

POST FALLS, ID 83854

#13D2145646
(208) 699-6995 3/12/2020 Other
Waiver
DRIGGS HEALTH CLINIC
283 N 1ST E

DRIGGS, ID 83422

#13D0520978
(208) 354-2302 9/2/2021 Physician Office
Waiver
DRS CAMPBELL AND ANDERSON
1404 POMERELLE AVE #B

BURLEY, ID 83318

#13D1031422
(208) 878-9432 10/1/2020 Physician Office
PPM
DRS CORDUM & FIORENTINO, MD, PLLC
203 W FORT ST

BOISE, ID 83702

#13D2094106
(208) 994-8656 4/9/2021 Physician Office
Waiver
DRS MCGEE AND DONALDSON
333 N 18TH AVE #B3

POCATELLO, ID 83201

#13D0944869
(208) 232-2146 4/21/2020 Physician Office
Waiver
DSI POST FALLS DIALYSIS
920 N HWY 41 #3

POST FALLS, ID 83854

#13D2088892
(208) 618-5164 12/16/2020 End Stage Renal Disease Facility
PPM
EAGLE CREEK FAMILY MEDICINE
1281 E IRON EAGLE DRIVE

EAGLE, ID 83616

#13D1058558
(208) 939-5535 9/7/2020 Physician Office
Compliance
EAGLE DERMATOLOGY PLLC
323 E RIVERSIDE DR STE 234

EAGLE, ID 83616

#13D2143283
(208) 391-7210 3/11/2021 Physician Office
Waiver
EAGLE EYE SURGERY AND LASER CENTER
3090 E GENTRY WAY #100

MERIDIAN, ID 83642

#13D0976451
(208) 288-1600 8/3/2020 Ambulatory Surgery Center
Waiver
EAGLE FAMILY HEALTH
445 S FITNESS PL #130

EAGLE, ID 83616

#13D1052729
(208) 939-2332 12/31/2021 Physician Office
PPM
EAGLE FAMILY MEDICINE
100 W COTTONWOOD CT #100

EAGLE, ID 83616

#13D1054858
(208) 939-3197 5/31/2020 Physician Office
Waiver
EAGLE PEDIATRICS
125 N STIERMAN WAY #A

EAGLE, ID 83616

#13D0858934
(208) 939-4880 2/13/2020 Physician Office
Waiver
EAGLE SURGICAL
6077 N EAGLE ROAD

BOISE, ID 83713

#13D1054701
(208) 939-9000 5/29/2020 Physician Office
Waiver
EAGLE VISION ONE
355 S EAGLE RD

EAGLE, ID 83616

#13D2123706
(208) 938-2015 12/28/2020 Physician Office
Waiver
EAST FALLS PRIMARY CARE
3200 CHANNING WAY STE 304

IDAHO FALLS, ID 83404

#13D2068738
(208) 535-4567 11/11/2021 Physician Office
PPM
EAST FALLS SPECIALTY CLINIC
3200 CHANNING WAY STE 205

IDAHO FALLS, ID 83404

#13D2120896
(208) 535-4515 11/29/2020 Physician Office
PPM
EAST FALLS UROLOGY
393 EAST 2ND NORTH

REXBURG, ID 83440

#13D2166310
(208) 535-4515 5/14/2021 Physician Office
Waiver
EASTERN IDAHO MEDICAL CONSULTANTS
3200 CHANNING WAY STE 205

IDAHO FALLS, ID 83404

#13D0701395
(208) 535-4300 8/9/2021 Physician Office
PPM
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE

IDAHO FALLS, ID 83402

#13D0646293
(208) 522-0310 9/5/2020 Other
Accreditation
EASTERN IDAHO REGIONAL MEDICAL CENTER
ATTN LAB DIRECTOR
3100 CHANNING WAY
IDAHO FALLS, ID 83404

#13D0056523
(208) 529-6111 2/27/2021 Hospital
Accreditation
EASTERN IDAHO REGIONAL MEDICAL CENTER
3100 CHANNING WAY

IDAHO FALLS, ID 83404

#13D0663015
(208) 529-6111 12/15/2019 Ancillary Testing Site
Waiver
ED SNELL'S PHARMACY SHOP
1015 E YOUNG ST

POCATELLO, ID 83201

#13D0897039
(208) 232-0049 1/25/2021 Pharmacy
Waiver
EDEN HOME HEALTH
1480 MIDWAY AVE #7

AMMON, ID 83406

#13D2019972
(208) 523-1980 2/9/2021 Home Health Agency
Waiver
EDGEWOOD FRUITLAND SENIOR LIVING LLC
1255 ALLEN AVE

FRUITLAND, ID 83619

#13D2067610
(208) 452-5163 10/20/2021 Assisted Living Facility
Waiver
EL ADA COMMUNITY ACTION PARTNERSHIP
2250 S VISTA AVE

BOISE, ID 83705

#13D1078391
(208) 345-2820 1/8/2020 Other
PPM
ELITE CLINICAL TRIALS
1443 PARKWAY DRIVE STE T 8

BLACKFOOT, ID 83221

#13D2046947
(208) 403-8775 9/13/2020 Other
Waiver
EMBRACE WELLNESS PLLC
1943 N LOCUST GROVE RD

MERIDIAN, ID 83642

#13D1107533
(208) 287-8400 11/8/2021 Other Practitioner
Waiver
EMERALD SURGICAL CENTER
811 N LIBERTY STREET

BOISE, ID 83704

#13D1015796
(208) 323-4522 8/12/2021 Ambulatory Surgery Center
PPM
EMERGENCY RESPONDERS HEALTH CENTER
9976 W EMERALD ST

BOISE, ID 83704

#13D2068474
(208) 381-0697 11/4/2021 Physician Office
Waiver
EMMETT EYE CENTER
1108 S WASHINGTON AVE

EMMETT, ID 83617

#13D2145244
(208) 365-2020 3/4/2020 Physician Office
PPM
EMMETT FAMILY MEDICINE & DIRECT PRIMARY CARE
2001 E QUAIL RUN RD

EMMETT, ID 83617

#13D2103854
(208) 365-7131 10/20/2021 Community Clinic
PPM
EMMETT MEDICAL CENTER
1102 E LOCUST ST

EMMETT, ID 83617

#13D0521264
(208) 365-6004 6/14/2021 Physician Office
Waiver
EMPIRE EYE PHYSICIANS
2175 N MAIN ST

COEUR D'ALENE, ID 83814

#13D2113816
(208) 664-9888 5/31/2020 Physician Office
Waiver
ENCOMPASS HOME HEALTH OF THE WEST LLC
3686 WASHINGTON PARKWAY

IDAHO FALLS, ID 83404

#13D1065562
(208) 528-8100 3/4/2021 Home Health Agency
Waiver
ENCOMPASS HOSPICE OF THE WEST LLC
1479 BENCH RD #C

POCATELLO, ID 83201

#13D1051490
(208) 637-1100 3/2/2020 Hospice
Waiver
ENERGETIC CHIROPRACTIC
1003 N ORCHARD ST

BOISE, ID 83706

#13D2067993
(208) 376-3113 10/24/2021 Physician Office
Waiver
ENNIS ENDOCRINOLOGY CLINIC
2450 E GALA ST, STE 100

MERIDIAN, ID 83642

#13D2082228
(208) 908-4541 8/10/2020 Physician Office
Waiver
ERIK JONES DO FAMILY PRACTICE
222 N 2ND STREET #202

BOISE, ID 83702

#13D2049114
(208) 344-6080 10/30/2020 Physician Office
PPM
ERLAND INTERNAL MEDICINE PC
3667 N LOCUST GROVE RD

MERIDIAN, ID 83646

#13D2050003
(208) 939-9090 11/18/2020 Physician Office
Registration
EVERGREEN DERMATOPATHOLOGY LLC
421 EAST LAKESIDE AVENUE #105

COEUR D'ALENE, ID 83814

#13D2166132
(208) 277-9704 5/12/2021 Independent
Accreditation
EXODUS PAIN CLINIC
8950 W EMERALD ST STE 168

BOISE, ID 83704

#13D2075881
(208) 947-7246 4/28/2021 Physician Office
Waiver
EYECARE OF RIGBY
711 RIGBY LAKE DR STE 301

RIGBY, ID 83442

#13D2123685
(208) 745-0181 12/27/2020 Physician Office
Waiver
EYEGUYS OPTICAL
8220 N CORNERSTONE DR STE A

HAYDEN, ID 83835

#13D2142262
(208) 772-5539 1/7/2020 Other Practitioner
PPM
FALL CREEK SKIN & HEALTH CLINIC
534 TREJO ST #400

REXBURG, ID 83440

#13D1032996
(208) 359-2263 11/1/2020 Physician Office
Compliance
FALL RIVER FAMILY MEDICINE
21 WINN DR

REXBURG, ID 83440

#13D2074775
(208) 881-5222 3/17/2021 Physician Office
PPM
FALLS AVENUE IMMEDIATE CARE
260 FALLS AVE

TWIN FALLS, ID 83301

#13D2149215
(208) 733-6700 5/28/2020 Physician Office
PPM
FALLS CENTRE FOR FUNCTIONAL MEDICINE PLLC
236 MARTIN ST

TWIN FALLS, ID 83301

#13D0975616
(208) 733-4444 7/11/2020 Physician Office
Waiver
FAMILY AND ADOLESCENT CARE OF TWIN FALLS
1385 PARKVIEW DR

TWIN FALLS, ID 83301

#13D2044290
(208) 944-5343 10/4/2020 Community Clinic
Waiver
FAMILY CARE CLINIC - BOISE
6933 W EMERALD ST

BOISE, ID 83704

#13D1106436
(208) 321-0634 10/13/2021 Physician Office
Waiver
FAMILY CARE CLINIC - MOUNTAIN HOME
110 RATTLESNAKE #B

MOUNTAIN HOME, ID 83647

#13D2012755
(208) 639-7250 9/8/2020 Physician Office
Waiver
FAMILY CARE CLINIC - NAMPA
1007 W ORCHARD ST

NAMPA, ID 83651

#13D2023512
(208) 461-2838 4/25/2021 Physician Office
Waiver
FAMILY CARE RESEARCH LLC
720 N ALLUMBAUGH

BOISE, ID 83704

#13D2168246
(208) 621-2501 6/24/2021 Other
PPM
FAMILY CLINIC, THE
526 SHOUP AVE W #E

TWIN FALLS, ID 83301

#13D2068848
(208) 736-3362 11/12/2021 Physician Office
PPM
FAMILY FIRST HEALTH CENTER
190 W BURNSIDE AVE #C

CHUBBUCK, ID 83202

#13D1058560
(208) 238-0400 9/7/2020 Physician Office
Compliance
FAMILY FIRST MEDICAL CENTER
3820 CRESTWOOD LN

IDAHO FALLS, ID 83404

#13D0996152
(208) 552-7700 7/31/2020 Physician Office
Waiver
FAMILY HEALTH ASSOCIATES
914 IRONWOOD DR #101

COEUR D'ALENE, ID 83814

#13D0522130
(208) 765-5922 4/6/2020 Physician Office
Registration
FAMILY HEALTH CARE
1075 N CURTIS RD #100 BLDG N6

BOISE, ID 83706

#13D0521868
(208) 377-5166 2/24/2021 Physician Office
Registration
FAMILY HEALTH CARE
1588 CAYUSE CREEK STE 100

MERIDIAN, ID 83646

#13D2147167
(208) 377-5166 4/12/2020 Physician Office
PPM
FAMILY HEALTH CARE OF POST FALLS
3773 W 5TH AVE STE 301

POST FALLS, ID 83854

#13D2050401
(208) 773-1311 11/27/2020 Physician Office
PPM
FAMILY HEALTH CENTER
606 N 3RD AVE #101

SANDPOINT, ID 83864

#13D1060655
(208) 263-1435 10/29/2020 Physician Office
Waiver
FAMILY HEALTH SERVICES
388 MARTIN ST

TWIN FALLS, ID 83301

#13D0879796
(208) 734-0451 10/21/2021 Community Clinic
PPM
FAMILY MEDICAL CARE PLLC
265 W PRAIRIE SHOPPING CENTER

HAYDEN, ID 83835

#13D1049033
(208) 772-7850 12/19/2021 Physician Office
PPM
FAMILY MEDICINE COEUR D'ALENE RESIDENCY
1919 LINCOLN WAY STE 315

COEUR D'ALENE, ID 83814

#13D0708628
(208) 625-6000 3/29/2020 Physician Office
Waiver
FAMILY MEDICINE HEALTH CENTER - EMERALD
6565 W EMERALD ST

BOISE, ID 83704

#13D2012283
(208) 514-2510 10/8/2021 Physician Office
Waiver
FAMILY MEDICINE HEALTH CENTER - KUNA
708 E WYTHE CREEK CT #103

KUNA, ID 83634

#13D0895832
(208) 922-5130 10/8/2021 Community Clinic
Waiver
FAMILY MEDICINE HEALTH CENTER - MERIDIAN
2275 S EAGLE RD #120

MERIDIAN, ID 83642

#13D2000850
(208) 514-2500 10/8/2021 Federally Qualified Health Center
PPM
FAMILY MEDICINE HEALTH CENTER - RAYMOND
777 N RAYMOND ST

BOISE, ID 83704

#13D0869417
(208) 367-6030 8/31/2020 Ancillary Testing Site
Waiver
FAMILY MEDICINE HEALTH CENTER -IDAHO
325 IDAHO STREET

BOISE, ID 83704

#13D0954249
(208) 514-2529 9/15/2021 Federally Qualified Health Center
Waiver
FAMILY MEDICINE HEALTH CENTER-MSC
925 NW 1ST STREET

MERIDIAN, ID 83642

#13D2173693
(208) 514-2527 10/16/2021 Federally Qualified Health Center
Waiver
FAMILY MEDICINE HEALTH CENTER-NAMPA
215 E HAWAII AVENUE

NAMPA, ID 83686

#13D2153394
(208) 514-2529 8/23/2020 Federally Qualified Health Center
Waiver
FAMILY MEDICINE HEALTH CENTER-NAMPA PEDS
215 E HAWAII ST

NAMPA, ID 83686

#13D2135546
(208) 514-2502 8/22/2021 Federally Qualified Health Center
Waiver
FAMILY PRACTICE BY THE LAKE LLC
1713 E SHERMAN AVE

COEUR D'ALENE, ID 83814

#13D2118549
(208) 966-4087 9/8/2020 Physician Office
Waiver
FIFTH STREET CARE CENTER
6150 S 5TH AVE

BOISE, ID 83702

#13D2015415
(208) 233-0016 10/26/2020 Hospital
Waiver
FIRST CHOICE HOME HEALTH HOSPICE & HOUSE CALLS
12400 W OVERLAND RD #100

BOISE, ID 83713

#13D2030281
(208) 322-7061 9/25/2021 Hospice
Waiver
FIRSTLINE MEDICAL
9161 W BLACK EAGLE

BOISE, ID 83709

#13D1079930
(208) 323-7588 1/5/2020 Physician Office
PPM
FIRTH MEDICAL CENTER PLLC
114 S MAIN ST

FIRTH, ID 83236

#13D2044106
(208) 346-6614 7/16/2020 Other
Accreditation
FORT HALL INDIAN HEALTH SERVICE
33 MISSION ROAD

FORT HALL, ID 83203

#13D0669185
(208) 238-2400 4/29/2020 Community Clinic
Waiver
FORT HALL INDIAN HEALTH SERVICE PHARMACY
33 NORTH MISSION RD

FORT HALL, ID 83203

#13D2152846
(208) 238-5429 8/16/2020 Pharmacy
Waiver
FOUR PEAKS CLINIC
852 VALLEY CENTER DR

DRIGGS, ID 83422

#13D2035058
(208) 354-4757 12/10/2020 Physician Office
Compliance
FRANKLIN COUNTY MEDICAL CENTER
44 N 1ST E

PRESTON, ID 83263

#13D0698823
(208) 852-4136 4/12/2021 Hospital
Waiver
FRED MEYER HEALTHY OPTIONS #449
5425 CHINDEN BLVD

BOISE, ID 83714

#13D0940005
(208) 323-7005 2/2/2020 Pharmacy
Waiver
FRED MEYER PHARMACY #049
560 W KATHLEEN AVE

COEUR D'ALENE, ID 83814

#13D0977339
(208) 665-4733 8/23/2020 Pharmacy
Waiver
FRED MEYER PHARMACY #156
1555 NORTHGATE MILE

IDAHO FALLS, ID 83401

#13D0995154
(208) 535-2553 1/9/2020 Pharmacy
Waiver
FRED MEYER PHARMACY #198
1850 E FAIRVIEW AVE

MERIDIAN, ID 83642

#13D1094135
(208) 887-5273 1/11/2021 Pharmacy
Waiver
FRED MEYER PHARMACY #226
50 2ND ST S

NAMPA, ID 83651

#13D1010066
(208) 465-2836 3/4/2021 Pharmacy
Waiver
FRED MEYER PHARMACY #260
800 YELLOWSTONE HWY

POCATELLO, ID 83201

#13D0970914
(208) 239-4033 2/28/2020 Pharmacy
Waiver
FRED MEYER PHARMACY #383
705 BLUE LAKES BLVD N

TWIN FALLS, ID 83301

#13D1007527
(208) 736-5373 12/19/2020 Pharmacy
Waiver
FRED MEYER PHARMACY #439
10751 W OVERLAND RD

BOISE, ID 83709

#13D1094134
(208) 373-5233 1/11/2021 Pharmacy
Waiver
FRED MEYER PHARMACY #613
3527 S FEDERAL WAY

BOISE, ID 83705

#13D0985335
(208) 424-7533 4/15/2021 Pharmacy
Waiver
FRED MEYER PHARMACY #662
5230 W FRANKLIN RD

BOISE, ID 83705

#13D0997242
(208) 429-6433 3/10/2020 Pharmacy
Waiver
FRED MEYER PHARMACY #685
1400 W CHINDEN BLVD

MERIDIAN, ID 83646

#13D2046436
(208) 893-6024 9/3/2020 Pharmacy
Waiver
FRESENIUS KIDNEY CARE DBA LIBERTY DIALYSIS - BOISE
1109 W MYRTLE ST #120

BOISE, ID 83702

#13D2082621
(208) 333-8315 9/23/2021 End Stage Renal Disease Facility
Waiver
FRIENDSHIP CLINIC, THE
704 S LATAH ST

BOISE, ID 83705

#13D1029468
(208) 342-1470 1/16/2021 Community Clinic
PPM
FRONTIER PEDIATRIC PARTNERS PLLC
1502 LOCUST ST N #700

TWIN FALLS, ID 83301

#13D2171440
(208) 595-5095 8/29/2021 Physician Office
Waiver
FRUITLAND DIALYSIS
815 NW 13TH ST

FRUITLAND, ID 83619

#13D2132636
(208) 452-3600 6/25/2021 End Stage Renal Disease Facility
Waiver
FRUITLAND HEALTH PLAZA
910 NW 16TH ST #100

FRUITLAND, ID 83619

#13D2049635
(541) 881-7280 4/22/2021 Ancillary Testing Site
Waiver
FUNCTIONAL MEDICINE OF IDAHO PC
3858 N GARDEN CENTER WAY #100

BOISE, ID 83703

#13D0898350
(208) 385-7711 1/30/2021 Physician Office
PPM
FUNCTIONAL MEDICINE OF IDAHO PC
745 S PROGRESS AVE STE 130

MERIDIAN, ID 83642

#13D2166598
(208) 385-7711 5/20/2021 Physician Office
PPM
GARDEN VALLEY FAMILY MEDICINE
102 QUINN ST

HORSESHOE BEND, ID 83629

#13D0713307
(208) 793-2257 10/31/2020 Community Clinic
Waiver
GARDEN VALLEY FAMILY MEDICINE
856 BANKS LOWMAN ROAD

GARDEN VALLEY, ID 83622

#13D0646317
(208) 462-3533 9/30/2021 Community Clinic
Waiver
GARNET PLACE
5815 COFFEY ST

BOISE, ID 83714

#13D2060840
(208) 377-9980 6/18/2021 Assisted Living Facility
Waiver
GATEWATY TRANSITIONAL CARE CENTER
527 MEMORIAL DR

POCATELLO, ID 83201

#13D1084537
(208) 478-3333 5/26/2020 Skilled Nursing Facility/Nursing Facility
Compliance
GCAM, INC
771 N COLLEGE RD

TWIN FALLS, ID 83301

#13D2090204
(714) 738-6462 3/22/2020 Other
Compliance
GEM STATE DERMATOLOGY
388 E PARKCENTER BLVD

BOISE, ID 83706

#13D0935092
(208) 424-9101 5/3/2020 Other Practitioner
Waiver
GEM STATE DIALYSIS CENTER
2225 TETON PLAZA

IDAHO FALLS, ID 83401

#13D0520925
(208) 522-4831 8/31/2020 End Stage Renal Disease Facility
Waiver
GEM STATE ENDOSCOPY PLLC
3709 14TH STREET

LEWISTON, ID 83501

#13D2115708
(208) 298-2135 7/11/2020 Ambulatory Surgery Center
PPM
GEM STATE FAMILY HEALTH CARE
496 SHOUP AVE W #E

TWIN FALLS, ID 83301

#13D0520581
(208) 733-2885 8/1/2020 Other Practitioner
Compliance
GENE K HODGES MD
2065 E 17TH ST #A

IDAHO FALLS, ID 83404

#13D1041378
(208) 522-3301 10/16/2021 Physician Office
Waiver
GENERATIONS ASSISTED LIVING
13400 N MEYER RD

RATHDRUM, ID 83858

#13D2133602
(208) 687-0495 7/16/2021 Assisted Living Facility
Waiver
GENESIS PROJECT
990 CAESAR CHAVEZ AVE

POCATELLO, ID 83209

#13D2118585
(208) 241-2813 9/11/2020 Other
Waiver
GENISIS COMMUNITY CLINIC
215 W 35TH

BOISE, ID 83714

#13D1008049
(208) 384-5200 8/18/2020 Community Clinic
Compliance
GLENNS FERRY HEALTH CENTER
486 W FIRST AVE

GLENNS FERRY, ID 83623

#13D0646318
(208) 366-7416 5/19/2020 Federally Qualified Health Center
Waiver
GLORIA BEERY CNP
2036 N COLE RD

BOISE, ID 83704

#13D2094681
(208) 855-2710 4/21/2021 Physician Office
Waiver
GOOD SAMARITAN SOCIETY - BOISE VILLAGE
3115 SYCAMORE DR

BOISE, ID 83703

#13D0521623
(208) 343-7726 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
GOOD SAMARITAN SOCIETY - IDAHO FALLS VILLAGE
840 E ELVA STREET

IDAHO FALLS, ID 83401

#13D0675669
(208) 523-4795 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
GOOD SAMARITAN VILLAGE
640 N EISENHOWER ST

MOSCOW, ID 83843

#13D0665667
(208) 882-6560 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
GOODING COUNTY EMERGENCY MEDICAL SERVICES
145 7TH AVE EAST

GOODING, ID 83330

#13D0919708
(208) 934-4015 9/12/2020 Other
PPM
GRACE CLINIC
114 W 1ST S

GRACE, ID 83241

#13D1072371
(208) 425-3123 8/14/2021 Community Clinic
Waiver
GRAND TETON RESEARCH GROUP
2770 CORTEZ AVE

IDAHO FALLS, ID 83404

#13D2057441
(208) 528-4256 4/16/2021 Other
Waiver
GRAND TETON SURGICAL CENTER
2290 CORONADO ST

IDAHO FALLS, ID 83404

#13D0961685
(208) 524-3800 6/13/2021 Ambulatory Surgery Center
Waiver
GRANGEVILLE HEALTH & REHAB CENTER
410 E NORTH 2ND ST

GRANGEVILLE, ID 83530

#13D0521156
(208) 983-1131 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
GREENFIELD FAMILY MEDICINE
420 E 4TH N

REXBURG, ID 83440

#13D0994836
(208) 356-9100 1/2/2020 Community Clinic
Waiver
GRITMAN INTERNAL MEDICINE CLINIC
719 S MAIN ST

MOSCOW, ID 83843

#13D2096999
(208) 883-1152 6/4/2021 Physician Office
Accreditation
GRITMAN MEDICAL CENTER
700 S MAIN ST

MOSCOW, ID 83843

#13D0056686
(208) 883-6402 1/2/2021 Hospital
Registration
GRITMAN MEDICAL CENTER DBA
623 S MAIN ST

MOSCOW, ID 83843

#13D0522286
(208) 882-2011 3/11/2021 Physician Office
Registration
GRITMAN MEDICAL CENTER INC DBA
2500 WEST A ST #101

MOSCOW, ID 83843

#13D0938809
(208) 882-0540 3/13/2021 Physician Office
Waiver
GROVE CREEK MEDICAL CENTER
350 N MERIDIAN ST

BLACKFOOT, ID 83221

#13D1043303
(208) 782-2900 4/13/2020 Ambulatory Surgery Center
Waiver
GUARDIAN HOME CARE INC
16151 N BRINSON ST

NAMPA, ID 83687

#13D0938810
(208) 461-1600 1/14/2020 Home Health Agency
Waiver
GUARDIAN HOME CARE INC
16151 N BRINSON ST

NAMPA, ID 83687

#13D0956660
(208) 461-1600 2/1/2021 Hospice
Waiver
HANDS OF HOPE HOME HEALTH AND HOSPICE
1379 E 17TH STREET

IDAHO FALLS, ID 83404

#13D1082209
(208) 523-7441 4/2/2020 Hospice
Waiver
HAYDEN LAKE DIALYSIS
7600 MINERAL DR #850

COEUR D'ALENE, ID 83814

#13D1087216
(208) 762-4411 7/28/2020 End Stage Renal Disease Facility
Compliance
HAYDEN LAKE FAMILY PHYSICIANS
8181 N CORNERSTONE DR

HAYDEN LAKE, ID 83835

#13D0870961
(208) 772-0785 6/12/2020 Physician Office
Waiver
HAYDEN VISION CENTER
8445 N GOVERNMENT WAY

HAYDEN, ID 83835

#13D2026988
(208) 772-3208 7/13/2021 Physician Office
Waiver
HBS OF MERIDIAN LLC
2131 S BONITO WAY

MERIDIAN, ID 83642

#13D2154237
(801) 884-3809 9/9/2020 Hospital
Waiver
HEALING ARTS DAY SURGERY
222 W IOWA AVE #B

NAMPA, ID 83686

#13D1096806
(208) 467-3432 3/11/2021 Ambulance
Waiver
HEALTH AND WELLNESS CENTER OF IDAHO
2001 S WOODRUFF AVE #5

IDAHO FALLS, ID 83404

#13D0880537
(208) 528-8777 12/15/2021 Physician Office
PPM
HEALTH CARE FOR WOMEN
980 W IRONWOOD DR #101

COEUR D'ALENE, ID 83814

#13D0673621
(208) 765-1455 6/1/2021 Physician Office
PPM
HEALTH CARE WITH HEART LLC
823 CENTER AVE

PAYETTE, ID 83661

#13D1058756
(209) 642-3396 9/14/2020 Physician Office
Waiver
HEALTHY FAMILY CHIROPRACTIC
107 14TH AVENUE SOUTH

NAMPA, ID 83651

#13D1024057
(208) 466-2536 3/31/2020 Other Practitioner
Waiver
HEART 'N HOME HOSPICE & PALLIATIVE CARE LLC
306 S WASHINGTON AVE

EMMETT, ID 83617

#13D2169822
(208) 452-2662 7/28/2021 Hospice
Waiver
HEART 'N HOME HOSPICE & PALLIATIVE CARE LLC
822 S 10TH AVE

CALDWELL, ID 83605

#13D2169825
(208) 452-2662 7/28/2021 Hospice
Waiver
HEART 'N HOME HOSPICE & PALLIATIVE CARE LLC
904 S VANGUARD WAY STE 100

MERIDIAN, ID 83642

#13D2169826
(208) 452-2662 7/28/2021 Hospice
Waiver
HEART CLINICS NORTHWEST
700 W IRONWOOD DR #350

COEUR D'ALENE, ID 83814

#13D0991317
(208) 676-9913 9/17/2021 Physician Office
Waiver
HEART N' HOME HOSPICE & PALLIATIVE CARE LLC
1107 NW 11TH STREET

FRUITLAND, ID 83619

#13D2107421
(208) 288-1143 1/12/2020 Hospice
Waiver
HEARTS FOR HOSPICE
2090 S EAGLE RD

MERIDIAN, ID 83642

#13D2104825
(208) 389-2276 11/11/2021 Home Health Agency
Waiver
HEARTS FOR HOSPICE LLC
2090 S EAGLE RD

MERIDIAN, ID 83642

#13D1043019
(208) 389-2276 7/13/2021 Hospice
Waiver
HELPING HANDS HOME HEALTH OF SE IDAHO
2785 BANNOCK

POCATELLO, ID 83204

#13D0939875
(208) 232-2009 2/1/2020 Home Health Agency
Registration
HEMATOLOGICS INC
5501 W CRUZEN ST

BOISE, ID 83706

#13D2159364
(206) 223-2700 12/17/2020 Independent
PPM
HENNEBERG AND KIM OB/GYN
980 W IRONWOOD DR #304

COEUR D'ALENE, ID 83814

#13D0699570
(208) 765-4888 8/31/2020 Physician Office
Registration
HERITAGE HEALTH
1090 PARK PLACE

COEUR D'ALENE, ID 83814

#13D1028002
(208) 620-5250 8/12/2021 Federally Qualified Health Center
Waiver
HERITAGE HEALTH-MOUNTAIN HEALTH CARE
740 MCKINLEY AVE

KELLOGG, ID 83837

#13D0679491
(208) 292-0285 10/24/2020 Federally Qualified Health Center
PPM
HERITAGE HEALTH-NIC STUDENT HEALTH
1000 W GARDEN AVE

COEUR D'ALENE, ID 83814

#13D2119807
(208) 292-0285 10/3/2020 School/Student Health Service
Waiver
HERITAGE HEALTH-POST FALLS
925 E POLSTON

POST FALLS, ID 83854

#13D2104558
(208) 625-5640 11/5/2021 Federally Qualified Health Center
Waiver
HERITAGE HOME HEALTH
1009 W QUINN RD #B

POCATELLO, ID 83202

#13D2006950
(208) 238-0088 5/4/2020 Skilled Nursing Facility/Nursing Facility
Waiver
HERITAGE HOME HEALTH & HOSPICE
1460 CHAMBERLAIN

IDAHO FALLS, ID 83402

#13D2170857
(208) 238-0088 8/20/2021 Hospice
Waiver
HERITAGE HOME HEALTH & HOSPICE OF TWIN FALLS
1219 CHENEY DR WEST

TWIN FALLS, ID 83301

#13D2170860
(208) 410-4040 8/20/2021 Home Health Agency
Waiver
HERITAGE PHYSICIAN & RESOURCE GROUP
1009 W QUINN RD

POCATELLO, ID 83202

#13D2108717
(208) 238-0088 2/9/2020 Physician Office
Waiver
HERON PLACE
715 W COMSTOCK AVE

NAMPA, ID 83651

#13D2054637
(208) 463-1732 12/15/2021 Assisted Living Facility
Compliance
HIGH VALLEY DERMATOLOGY
2085 PROVIDENCE WAY

IDAHO FALLS, ID 83404

#13D0927132
(208) 535-4888 12/1/2021 Physician Office
Waiver
HILLCREST HOME
2215 HILLCREST DR

TWIN FALLS, ID 83301

#13D2040624
(208) 734-1075 5/6/2020 Intermediate Care Fac For Mentally Retarded
Waiver
HOLLINGSHEAD EYE CENTER
360 E MALLARD DR #110

BOISE, ID 83706

#13D2059932
(208) 336-8700 6/3/2021 Physician Office
Waiver
HOMESTEAD HOME HEALTH & HOSPICE
407 W 1ST N

REXBURG, ID 83440

#13D2100439
(208) 497-7384 8/13/2021 Home Health Agency
Waiver
HONEYSUCKLE PLACE ASSISTED LIVING COMMUNITY
660 W HONEYSUCKLE AVE

HAYDEN, ID 83835

#13D2053100
(208) 762-4097 1/24/2021 Assisted Living Facility
Waiver
HORIZON HOME HEALTH
63 W WILLOWBROOK DR

MERIDIAN, ID 83646

#13D0887183
(208) 888-7877 6/6/2020 Home Health Agency
Waiver
HORIZON HOME HEALTH EAST
1411 FALLS AVE EAST STE 615

TWIN FALLS, ID 83301

#13D0883117
(208) 733-2840 2/24/2020 Home Health Agency
Waiver
HORIZON HOSPICE EAST
190 W BURNSIDE STE D

CHUBBUCK, ID 83202

#13D1068552
(208) 233-2279 5/14/2021 Hospice
Waiver
HOSPICE OF EASTERN IDAHO
1810 MORAN ST

IDAHO FALLS, ID 83402

#13D2100340
(208) 529-0342 8/11/2021 Hospice
Waiver
HOSPICE OF NORTH IDAHO
2290 W PRAIRIE AVE

COEUR D ALENE, ID 83815

#13D0900167
(208) 772-7994 4/17/2021 Hospice
Waiver
HOSPICE VISIONS INC
1770 PARK VIEW DR

TWIN FALLS, ID 83301

#13D1040217
(208) 735-0121 5/2/2021 Hospice
Waiver
HPA IDAHO LLC DBA HARRISON'S HOPE
211 E LOGAN ST STE 102

CALDWELL, ID 83605

#13D2170376
(208) 286-1300 8/8/2021 Hospice
Waiver
HPA IDAHO LLC DBA HARRISON'S HOPE TWIN FALLS
401 GOODING ST N STE 107

TWIN FALLS, ID 83301

#13D2169146
(208) 944-2021 7/15/2021 Hospice
Waiver
HPA IDAHO, LLC DBA HARRISON'S HOPE
3137 S MERIDIAN RD #120

MERIDIAN, ID 83642

#13D1060776
(208) 947-6800 10/31/2020 Hospice
Waiver
HUMAN SUPPORTS OF IDAHO INC
314 BADIOLA ST

CALDWELL, ID 83605

#13D2142253
(208) 454-8389 1/7/2020 Other
Waiver
HUMAN SUPPORTS OF IDAHO INC
4477 W EMERALD ST STE C-100

BOISE, ID 83706

#13D2142255
(208) 454-8389 1/7/2020 Other
Waiver
HURST MEDICAL
1700 OVERLAND AVE

BURLEY, ID 83318

#13D2162949
(208) 825-6193 3/4/2021 Other Practitioner
Waiver
IDAHO ALLERGY
379 E SHORE DR #100

EAGLE, ID 83616

#13D1107477
(208) 938-3443 11/5/2021 Physician Office
Compliance
IDAHO ARTHRITIS CENTER
3277 E LOUISE DR #350

MERIDIAN, ID 83642

#13D0973522
(208) 887-9500 7/30/2020 Physician Office
Waiver
IDAHO ARTHRITIS CENTER - CALDWELL
1818 SOUTH 10TH AVE STE 120

CALDWELL, ID 83605

#13D2059246
(208) 887-9500 5/20/2021 Physician Office
Compliance
IDAHO BUREAU OF LABORATORIES
2220 OLD PENITENTIARY ROAD

BOISE, ID 83712

#13D0646339
(208) 334-0568 5/31/2020 Public Health Laboratory
Waiver
IDAHO CENTER FOR INTEGRATIVE MEDICINE, THE
3224 N MAPLE GROVE RD

BOISE, ID 83704

#13D2027388
(208) 629-5374 7/24/2021 Other
Accreditation
IDAHO CENTER FOR REPRODUCTIVE MEDICINE
1000 E PARK BLVD STE 110

BOISE, ID 83712

#13D0959153
(208) 342-5900 12/3/2020 Physician Office
Waiver
IDAHO CORRECTIONAL CENTER
14601 PLEASANT VALLEY ROAD

KUNA, ID 83634

#13D0978765
(208) 331-2760 10/2/2020 Other
Waiver
IDAHO CORRECTIONAL INSTITUTION OF OROFINO
381 W HOSPITAL DR

OROFINO, ID 83544

#13D0928833
(208) 476-7926 5/27/2021 Other
Waiver
IDAHO DEPARTMENT OF JUVENILE CORRECTIONS
1650 11TH AVENUE NORTH

NAMPA, ID 83687

#13D0956657
(208) 465-8443 2/20/2021 Other
Compliance
IDAHO DERMATOLOGIC SURGERY & LASER CENTER
999 N CURTIS RD #505

BOISE, ID 83706

#13D0900158
(208) 327-9521 12/7/2020 Physician Office
Waiver
IDAHO DIABETES & ENDOCRINE ASSOCIATES
13909 W WAINWRIGHT DR

BOISE, ID 83713

#13D0998977
(208) 389-2213 4/29/2020 Physician Office
Waiver
IDAHO DIVISION OF VETERANS SERVICES
320 COLLINS RD

BOISE, ID 83702

#13D0890001
(208) 780-1600 8/9/2020 Skilled Nursing Facility/Nursing Facility
Waiver
IDAHO ENDOSCOPY CENTER
6259 W EMERALD ST

BOISE, ID 83703

#13D2102495
(208) 489-1900 9/23/2021 Ambulatory Surgery Center
Waiver
IDAHO EYE CENTER
ATTN IDAHO FALLS FACILITY
2025 E 17TH ST
IDAHO FALLS, ID 83404

#13D0690821
(208) 524-2025 8/31/2020 Ambulatory Surgery Center
Waiver
IDAHO EYE CENTER - POCATELLO
1157 CALL PL

POCATELLO, ID 83201

#13D0951611
(208) 232-2008 9/22/2020 Ambulatory Surgery Center
Waiver
IDAHO EYE CENTER - REXBURG
471 FIRST AMERICAN CR

REXBURG, ID 83440

#13D1090398
(208) 524-2025 10/8/2020 Ambulatory Surgery Center
Waiver
IDAHO FALLS ARTHRITIS CLINIC
2220 E 25TH ST

IDAHO FALLS, ID 83404

#13D0939877
(208) 542-9080 6/19/2021 Physician Office
Accreditation
IDAHO FALLS ASC LLC
3302 VALENCIA DR STE 101A

IDAHO FALLS, ID 83404

#13D2156813
(713) 822-0223 7/29/2021 Physician Office
Registration
IDAHO FALLS COMMUNITY HOSPTIAL
2327 CORONADO ST

IDAHO FALLS, ID 83404

#13D2173071
(208) 557-2758 10/3/2021 Hospital
Compliance
IDAHO FALLS DERMATOLOGY
2001 S WOODRUFF AVE STE 12A

IDAHO FALLS, ID 83404

#13D1063459
(208) 522-8945 7/19/2021 Physician Office
PPM
IDAHO FALLS FAMILY & SPORTS MEDICINE
3360 WASHINGTON PKWY #1

IDAHO FALLS, ID 83404

#13D0936394
(208) 524-3416 11/19/2021 Physician Office
Waiver
IDAHO FALLS GROUP HOMES-SUMMIT
3612 SUMMIT RUNTRAIL

IDAHO FALLS, ID 83404

#13D2142273
(208) 523-0053 1/7/2020 Intermediate Care Fac For Mentally Retarded
Waiver
IDAHO FALLS INFECTIOUS DISEASES
2900 CORTEZ AVE

IDAHO FALLS, ID 83404

#13D2050756
(208) 535-8406 12/4/2020 Physician Office
Compliance
IDAHO FALLS PEDIATRICS
2375 CORONADO ST

IDAHO FALLS, ID 83404

#13D0969818
(208) 522-4600 9/8/2021 Physician Office
Compliance
IDAHO FALLS PEDIATRICS - WESTSIDE
1645 PANCHERI DR

IDAHO FALLS, ID 83402

#13D2085610
(208) 522-4600 3/9/2020 Physician Office
Waiver
IDAHO FOREST GROUP
4447 E CHILCO RD

ATHOL, ID 83801

#13D2044159
(208) 762-2911 7/17/2020 Mobile Laboratory
Waiver
IDAHO GASTROENTEROLOGY ASSOCIATES
2235 E GALA ST

MERIDIAN, ID 83642

#13D0928832
(208) 695-2100 5/27/2021 Physician Office
Waiver
IDAHO GASTROENTEROLOGY ASSOCIATES
425 W BANNOCK ST

BOISE, ID 83702

#13D0521568
(208) 342-7169 12/9/2021 Physician Office
Waiver
IDAHO HOME HEALTH & HOSPICE
222 SHOSHONE ST E

TWIN FALLS, ID 83301

#13D0878627
(208) 734-4061 10/28/2021 Home Health Agency
Waiver
IDAHO HYPERBARICS INC
1125 W ALAMEDA RD

POCATELLO, ID 83201

#13D1068551
(208) 237-1151 5/14/2021 Other
Waiver
IDAHO IN-HOME PARTNER-I LLC DBA FAMILY HOSPICE
1250 IDAHO ST

LEWISTON, ID 83501

#13D2175264
(208) 799-5275 11/18/2021 Hospice
Waiver
IDAHO JOINT AND SPINE PC
9510 W FAIRVIEW AVE

BOISE, ID 83704

#13D2121978
(208) 322-5922 11/16/2020 Physician Office
Waiver
IDAHO KIDNEY CENTER
245 POPLAR ST

BLACKFOOT, ID 83221

#13D1059334
(208) 747-0932 9/26/2020 End Stage Renal Disease Facility
Waiver
IDAHO KIDNEY CENTER - IDAHO FALLS
2381 E SUNNYSIDE RD

IDAHO FALLS, ID 83404

#13D1053208
(208) 747-0880 4/17/2020 End Stage Renal Disease Facility
Waiver
IDAHO MAXIMUM SECURITY INSTITUTION
13400 S PLEASANT VALLEY RD

KUNA, ID 83634

#13D0965621
(208) 389-0233 9/26/2021 Other
Waiver
IDAHO MEDICAL IMAGING
1151 HOSPITAL WAY BLDG B

POCATELLO, ID 83201

#13D2133859
(208) 239-1672 7/19/2021 Ancillary Testing Site
Waiver
IDAHO NATIONAL LABORATORY
PO BOX 1625 MS 3125

IDAHO FALLS, ID 83415

#13D0711423
(208) 533-5835 8/22/2020 Other
Waiver
IDAHO NATIONAL LABORATORY - ATR
PO BOX 1625 MS 3125

IDAHO FALLS, ID 83415

#13D0711427
(208) 533-4311 8/22/2020 Other
Compliance
IDAHO NATIONAL LABORATORY - CFA
CENTRAL FACILITIES AREA (CFA)

IDAHO FALLS, ID 83415

#13D0665090
(208) 526-1153 8/7/2021 Other
Compliance
IDAHO NATIONAL LABORATORY - MFC
MATERIALS & FUELS COMPLES (MFC)

IDAHO FALLS, ID 83415

#13D0711424
(208) 526-1153 8/12/2021 Other
Waiver
IDAHO NATIONAL LABORATORY - TAN
PO BOX 1625 MS 3125

IDAHO FALLS, ID 83415

#13D0711428
(208) 523-2356 8/22/2020 Other
Compliance
IDAHO NATIONAL LABORATORY -WILLOW CREEK DISPENSARY
1955 FREMONT AVE

IDAHO FALLS, ID 83415

#13D0711426
(208) 526-2196 8/8/2021 Other
PPM
IDAHO NEPHROLOGY ASSOCIATES
5610 W GAGE ST #A

BOISE, ID 83706

#13D0521881
(208) 501-8955 11/17/2021 Physician Office
Waiver
IDAHO NORTH CENTRAL DISTRICT PUBLIC HEALTH
215 10TH STREET

LEWISTON, ID 83501

#13D0521115
(208) 799-3100 10/23/2020 Other
Compliance
IDAHO PAIN CLINIC
1327 SUPERIOR ST #101

SANDPOINT, ID 83864

#13D2016348
(208) 263-9757 8/19/2020 Physician Office
Waiver
IDAHO PHYSICAL MEDICINE & REHAB - ASC
3551 E OVERLAND RD

MERIDIAN, ID 83642

#13D1074117
(208) 884-1333 9/23/2021 Ambulatory Surgery Center
Waiver
IDAHO PHYSICAL MEDICINE & REHABILITATION
161 E MALLARD DR STE 120

BOISE, ID 83706

#13D2031665
(208) 489-4016 10/24/2021 Physician Office
Waiver
IDAHO PHYSICAL MEDICINE & REHABILITATION PA
3551 E OVERLAND RD

MERIDIAN, ID 83642

#13D2031469
(208) 489-4016 10/19/2021 Physician Office
Waiver
IDAHO PHYSICAL MEDICINE AND REHABILITATION PA
840 N 4TH E

MOUNTAIN HOME, ID 83647

#13D2165110
(208) 884-1333 4/18/2021 Physician Office
PPM
IDAHO PHYSICIANS CLINIC
98 POPLAR ST

BLACKFOOT, ID 83221

#13D0994767
(208) 785-3800 1/14/2021 Physician Office
Compliance
IDAHO SKIN INSTITUTE
147 W CHUBBUCK RD

CHUBBUCK, ID 83202

#13D2000081
(208) 238-7546 2/16/2021 Physician Office
PPM
IDAHO SKIN INSTITUTE OF BURLEY
1344 HILAND AVE STE D

BURLEY, ID 83318

#13D2170865
(208) 572-6005 8/20/2021 Physician Office
Compliance
IDAHO SKIN SURGERY CENTER PC
1906 S VISTA AVE

BOISE, ID 83705

#13D1084633
(208) 433-1114 6/1/2021 Physician Office
Waiver
IDAHO SLEEP HEALTH
7272 POTOMAC DR

BOISE, ID 83704

#13D2158341
(208) 463-3128 11/26/2020 Physician Office
Waiver
IDAHO SPORTS & SPINE
950 HOSPITAL WAY #A

POCATELLO, ID 83201

#13D2072971
(208) 478-4522 10/3/2020 Physician Office
PPM
IDAHO SPORTS MEDICINE INSTITUTE
1188 W UNIVERSITY DR

BOISE, ID 83706

#13D2106073
(208) 336-8250 10/6/2021 Physician Office
Waiver
IDAHO STATE CORRECTIONAL INSTITUTE
ATTN MEDICAL DEPT
13500 S PLEASANT VALLEY RD
KUNA, ID 83634

#13D0663831
(208) 424-3726 2/10/2020 Prison
Waiver
IDAHO STATE UNIVERSITY COLLEGE OF PHARMACY
970 S 5TH AVE

POCATELLO, ID 83201

#13D2099323
(208) 221-0754 7/23/2021 Health Fair
PPM
IDAHO STATE UNIVERSITY HEALTH CENTER
990 CESAR CHAVEZ AVE

POCATELLO, ID 83209

#13D0665964
(208) 282-2330 8/27/2021 School/Student Health Service
Waiver
IDAHO STATE VETERANS HOME-LEWISTON
821 21ST AVE

LEWISTON, ID 83501

#13D2150943
(208) 750-3600 7/8/2020 Skilled Nursing Facility/Nursing Facility
Waiver
IDAHO STATE VETERANS HOME-POCATELLO
1957 ALVIN RICKEN DR

POCATELLO, ID 83201

#13D2150884
(208) 235-7800 7/5/2020 Skilled Nursing Facility/Nursing Facility
Waiver
IDAHO STREET MEDICAL CLINIC
126 WEST IDAHO AVE

HOMEDALE, ID 83628

#13D2165553
(208) 859-4103 4/29/2021 Community Clinic
Waiver
IDAHO SURGICENTER INC
1157 CALL CREEK PL

POCATELLO, ID 83201

#13D0970668
(208) 238-6337 2/21/2020 Ambulatory Surgery Center
Waiver
IDAHO SURGICENTER NORTH
3369 MERLIN DRIVE

IDAHO FALLS, ID 83404

#13D0974072
(208) 529-0009 5/25/2020 Ambulatory Surgery Center
PPM
IDAHO UROLOGIC INSTITUTE - BOISE
222 N 2ND ST #115

BOISE, ID 83702

#13D1042538
(208) 854-3973 1/2/2021 Physician Office
Compliance
IDAHO UROLOGIC INSTITUTE - MERIDIAN
2855 E MAGIC VIEW DR

MERIDIAN, ID 83642

#13D0977077
(208) 639-4900 1/7/2021 Physician Office
PPM
IDAHO UROLOGIC INSTITUTE - MOUNTAIN HOME
890 N 6TH E

MOUNTAIN HOME, ID 83647

#13D1053844
(208) 887-9172 5/7/2020 Physician Office
PPM
IDAHO UROLOGIC INSTITUTE - NAMPA
6195 E HUNT AVE

NAMPA, ID 83687

#13D1000288
(208) 466-2461 6/6/2020 Physician Office
Waiver
IDEAL OPTION PLLC
3110 CLEVELAND BLVD BLDG A STE A7

CALDWELL, ID 83605

#13D2117602
(509) 222-1275 8/18/2020 Physician Office
Waiver
IDEAL OPTION PLLC
380 N CAPITAL AVE STE 1

IDAHO FALLS, ID 83402

#13D2163251
(509) 222-1275 3/10/2021 Physician Office
Waiver
IDEAL OPTION PLLC
1111 BLUE LAKE BLVD STE E

TWIN FALLS, ID 83301

#13D2153399
(509) 222-1275 8/23/2020 Physician Office
Waiver
IDEAL OPTION PLLC
509 W HANDLEY AVE STE 101

COEUR D'ALENE, ID 83814

#13D2153703
(509) 222-1275 8/28/2020 Physician Office
Waiver
IDEAL OPTION PLLC
1443 IDAHO ST

LEWISTON, ID 83501

#13D2132632
(509) 222-1275 6/25/2021 Physician Office
Waiver
IMAGING CENTER OF IDAHO
4519 ENTERPRISE WAY

CALDWELL, ID 83605

#13D1074821
(208) 454-0742 10/8/2021 Other
Registration
INCYTE PATHOLOGY - GRITMAN MEDICAL CENTER
700 S MAIN ST

MOSCOW, ID 83843

#13D2032624
(208) 882-2624 12/31/2020 Independent
Accreditation
INCYTE PATHOLOGY - KOOTENAI HEALTH
2003 KOOTENAI HEALTH WAY

COEUR D'ALENE, ID 83814

#13D2011094
(208) 625-4000 8/16/2021 Hospital
Compliance
INCYTE PATHOLOGY - NW SPECIALTY BRANCH
1593 E POLSTON AVE

POST FALLS, ID 83854

#13D2090203
(509) 892-2789 2/21/2020 Independent
Waiver
INITIAL POINT FAMILY MEDICINE
2640 S EAGLE ROAD

MERIDIAN, ID 83642

#13D1064990
(208) 884-0835 2/19/2021 Physician Office
Waiver
INJURY CARE MEDICAL CENTER
4850 N ROSEPOINT WAY #100

BOISE, ID 83713

#13D1090572
(208) 939-2100 10/14/2020 Physician Office
Waiver
INLAND OASIS
660 W PULLMAN RD

MOSCOW, ID 83843

#13D1091977
(425) 791-1611 11/13/2020 Independent
Waiver
INNER HEALTH MD PC
180 W 1ST ST STE 206

KETCHUM, ID 83340

#13D2110315
(208) 578-4550 3/13/2020 Physician Office
PPM
INTEGRATIVE HEALTH SOLUTIONS PLLC
1215 MICHIGAN ST STE B1

SANDPOINT, ID 83864

#13D2154720
(208) 920-0285 9/17/2020 Other Practitioner
PPM
INTERMOUNTAIN CASSIA REGIONAL HOSPITAL
1408 POMERELLE STE H

BURLEY, ID 83318

#13D1102139
(208) 878-4970 7/12/2021 Physician Office
Waiver
INTERMOUNTAIN EYE CENTERS
323 E RIVERSIDE DR #122

EAGLE, ID 83616

#13D2062356
(208) 938-4749 7/15/2021 Physician Office
Waiver
INTERMOUNTAIN HOMECARE
1031 E MAIN ST

BURLEY, ID 83318

#13D2013654
(208) 678-8844 9/22/2020 Home Health Agency
Waiver
INTERMOUNTAIN HOSPITAL
303 N ALLUMBAUGH ST

BOISE, ID 83704

#13D0646351
(208) 377-8400 7/21/2021 Independent
Compliance
INTERMOUNTAIN MEDICAL CLINIC
1951 BENCH RD #B

POCATELLO, ID 83201

#13D0520334
(208) 238-1000 9/26/2020 Physician Office
Waiver
INTERMOUNTAIN MEDICAL IMAGING
2929 E MAGIC VIEW DR

MERIDIAN, ID 83642

#13D0999409
(208) 954-8127 8/25/2020 Other
Waiver
INTERMOUNTAIN MEDICAL IMAGING
927 W MYRTLE ST

BOISE, ID 83702

#13D0966629
(208) 954-8025 10/20/2021 Other
Waiver
INTERMOUNTAIN MEDICAL IMAGING
323 E RIVERSIDE DR #108

EAGLE, ID 83616

#13D2050494
(208) 367-3340 11/29/2020 Other
Waiver
INTERMOUNTAIN MEDICAL IMAGING
ATTN MRI DEPARTMENT
1055 N CURTIS RD
BOISE, ID 83706

#13D2050573
(208) 367-3340 12/2/2020 Other
Waiver
INTERMOUNTAIN PEDIATRIC CLINIC
7722 W USTICK ROAD

BOISE, ID 83704

#13D0521750
(208) 322-1325 7/11/2021 Physician Office
PPM
INTERNAL MEDICINE ASSOCIATES
102 S EUCLID AVE STE 202

SANDPOINT, ID 83864

#13D0522378
(208) 263-6876 5/21/2021 Physician Office
Waiver
INTERPATH - EMERALD CLINIC (FMRI)
6565 W EMERALD ST

BOISE, ID 83704

#13D2013514
(208) 375-2350 9/20/2020 Independent
Waiver
INTERPATH - KUNA (FMRI)
708 W WYTHE CREEK CR #101

KUNA, ID 83634

#13D2072455
(208) 375-2350 1/29/2020 Independent
Waiver
INTERPATH - MERIDIAN SCHOOL (FMRI)
925 NW 1ST ST

MERIDIAN, ID 83642

#13D2072452
(208) 375-2350 1/29/2020 Independent
Waiver
INTERPATH BOISE 4
2275 S EAGLE RD STE 120

MERIDIAN, ID 83642

#13D2002231
(208) 375-2350 1/10/2020 Independent
Waiver
INTERPATH LAB TWIN FALLS 2
388 MARTIN STREET

TWIN FALLS, ID 83301

#13D2172906
(541) 966-6363 9/30/2021 Independent
Accreditation
INTERPATH LABORATORY - BOISE I
8660 W EMERALD ST #102

BOISE, ID 83704

#13D0980387
(208) 375-2350 4/28/2021 Independent
Waiver
INTERPATH LABORATORY - RAYMOND
777 N RAYMOND ST

BOISE, ID 83704

#13D1084554
(208) 514-2500 5/27/2020 Health Maintenance Organization
Compliance
INTERPATH LABORATORY - TWIN FALLS
496 SHOUP AVE SUITE F

TWIN FALLS, ID 83301

#13D1046008
(208) 734-8887 3/22/2020 Independent
Waiver
INTERPATH LABORATORY BURLEY
1021 E MAIN ST

BURLEY, ID 83318

#13D2095593
(208) 678-6581 8/25/2021 Independent
Waiver
INTERPATH LABORATORY-BOISE 5
325 W IDAHO ST

BOISE, ID 83702

#13D2109989
(208) 375-2350 3/6/2020 Independent
Waiver
INTERPATH NAMPA 2
215 E HAWAII AVE

LETHA, ID 83636

#13D2135559
(208) 514-2502 8/22/2021 Independent
PPM
IRONWOOD FAMILY PRACTICE
920 IRONWOOD DR #101

COEUR D'ALENE, ID 83814

#13D0679680
(208) 667-4557 3/1/2021 Physician Office
Waiver
ISLAND PARK MEDICAL CLINIC
3765 HWY 20 SOUTH

ISLAND PARK, ID 83429

#13D1043496
(208) 558-7766 2/24/2021 Community Clinic
Waiver
ITAFOS HEALTH CARE CLINIC
3010 CONDA RD

SODA SPRINGS, ID 83276

#13D2045153
(208) 547-4381 8/7/2020 Industrial
Waiver
IVY COURT EXTENDED CARE
2200 IRONWOOD PL

COEUR D'ALENE, ID 83814

#13D0646366
(208) 667-6486 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
IWASA EYE CENTER
925 NW 12TH ST

FRUITLAND, ID 83619

#13D1087337
(208) 452-2151 7/31/2020 Physician Office
Waiver
J BAYARD MILLER MD
610 CEDAR ST

WALLACE, ID 83873

#13D0694891
(208) 556-1561 8/31/2020 Physician Office
PPM
JOHN A STURGES MD
2170 IRONWOOD CENTER DR #A

COEUR D'ALENE, ID 83814

#13D0970669
(208) 665-5596 2/21/2020 Physician Office
Waiver
JON-ERIC BAILLIE MD, PLLC
8100 W EMERALD ST STE 180

BOISE, ID 83704

#13D2052252
(208) 377-3299 1/7/2021 Physician Office
Waiver
JOSEPH W IPPOLITO MD
526 SHOUP AVE W #F

TWIN FALLS, ID 83301

#13D0981243
(208) 736-7620 12/20/2020 Physician Office
Waiver
JUST 4 KIDS URGENT CARE
3320 SOUTH 25TH EAST

IDAHO FALLS, ID 83404

#13D2139410
(801) 360-8725 11/1/2021 Other
Waiver
JUVENILE CORRECTION CENTER
2220 E 600 N

SAINT ANTHONY, ID 83445

#13D0701052
(208) 624-3462 8/31/2020 Other
PPM
KAMIAH NIMIIPUU HEALTH
313 3RD ST

KAMIAH, ID 83536

#13D1054569
(208) 746-0516 5/23/2020 Rural Health Clinic
PPM
KANIKSU HEALTH SERVICES
30410 HWY 200

PONDERAY, ID 83852

#13D1050771
(208) 263-7101 2/12/2020 Federally Qualified Health Center
PPM
KANIKSU HEALTH SERVICES
6615 COMANCHE ST

BONNERS FERRY, ID 83805

#13D0998442
(208) 267-1718 1/21/2021 Physician Office
PPM
KANIKSU HEALTH SERVICES - PRIEST RIVER
6509 HIGHWAY 2 #101

PRIEST RIVER, ID 83856

#13D0706588
(208) 448-2321 7/31/2020 Physician Office
Waiver
KANIKSU HEALTH SERVICES-VA CLINIC
420 N SECOND AVENUE STE 100

SANDPOINT, ID 83864

#13D2142183
(208) 263-7101 11/13/2020 Federally Qualified Health Center
Waiver
KARCHER ESTATES ASSISTED LIVING
1127 CALDWELL BLVD

NAMPA, ID 83651

#13D2156097
(208) 465-4935 10/9/2020 Assisted Living Facility
PPM
KAYLOR FAMLY MEDICINE
2536 N STOKESBERRY PL

MERIDIAN, ID 83646

#13D2058335
(208) 506-7855 5/5/2021 Physician Office
Compliance
KELLER SKIN & CANCER CARE, PC
1605 E RIVERSIDE DR

EAGLE, ID 83616

#13D1084738
(208) 939-6227 1/4/2020 Other Practitioner
Waiver
KENDRICK FAMILY CARE
606 E MAIN ST

KENDRICK, ID 83537

#13D0521173
(208) 289-3841 4/1/2021 Physician Office
Waiver
KEYSTONE HEALTH AND HOSPICE CARE
21 N FISHER PARK WAY

EAGLE, ID 83616

#13D2111869
(208) 514-0670 4/17/2020 Physician Office
Waiver
KIEFFER CHIROPRACTIC CLINIC
667 OLD HIGHWAY 30

MOUNTAIN HOME, ID 83647

#13D0717775
(208) 587-4804 7/29/2021 Physician Office
Waiver
KINDRED AT HOME
1230 NORTHWOOD CENTER CT #C

COEUR D'ALENE, ID 83814

#13D1066671
(208) 667-5470 3/28/2021 Home Health Agency
Waiver
KOOTENAI BEHAVIORAL HEALTH
2301 N IRONWOOD PL

COEUR D'ALENE, ID 83814

#13D0914304
(208) 625-4801 4/24/2020 Hospital
Waiver
KOOTENAI CANCER CENTER AT BGH
520 N THIRD AVE

SANDPOINT, ID 83864

#13D1081767
(208) 263-6763 3/24/2020 Other
Waiver
KOOTENAI CLINIC - FAMILY MEDICINE
566 W PRAIRIE AVE

COEUR D'ALENE, ID 83814

#13D0925071
(208) 772-8263 2/17/2021 Physician Office
PPM
KOOTENAI CLINIC - FAMILY MEDICINE
1701 LINCOLN WAY

COEUR D'ALENE, ID 83814

#13D0522163
(208) 625-4955 6/8/2020 Physician Office
Waiver
KOOTENAI CLINIC - INTERNAL MEDICINE
1300 E MULLAN ST 1600

POST FALLS, ID 83854

#13D0522066
(208) 625-4965 5/27/2020 Physician Office
Waiver
KOOTENAI CLINIC - PSYCHIATRY
2199 IRONWOOD CENTER DR

COEUR D'ALENE, ID 83814

#13D2063848
(208) 625-4888 8/8/2021 Physician Office
PPM
KOOTENAI CLINIC DERMATOLOGY
980 W IRONWOOD DR STE 01

COEUR D'ALENE, ID 83814

#13D2136261
(208) 625-4260 9/5/2021 Physician Office
Waiver
KOOTENAI CLINIC DIABETES & ENDOCRINOLOGY
1919 LINCOLN WAY #211

COEUR D'ALENE, ID 83814

#13D2042294
(208) 625-5500 6/7/2020 Physician Office
Waiver
KOOTENAI CLINIC FAMILY MEDICINE
1300 E MULLAN AVE #1300

POST FALLS, ID 83854

#13D2094891
(208) 625-5630 4/26/2021 Physician Office
Waiver
KOOTENAI CLINIC GENERAL SURGERY
700 IRONWOOD DR #341

COEUR D'ALENE, ID 83814

#13D0942585
(208) 625-5200 3/12/2020 Physician Office
PPM
KOOTENAI CLINIC INTERNAL MEDICINE
1919 LINCOLN WAY #110

COEUR D'ALENE, ID 83814

#13D2068743
(208) 625-4515 2/7/2020 Physician Office
PPM
KOOTENAI CLINIC OB/GYN
980 IRONWOOD DR #306

COEUR D'ALENE, ID 83814

#13D0674517
(208) 625-4970 8/31/2020 Physician Office
Waiver
KOOTENAI CLINIC RHEUMATOLOGY
700 IRONWOOD DRIVE #275W

COEUR D'ALENE, ID 83814

#13D1081771
(208) 625-4780 3/24/2020 Physician Office
Waiver
KOOTENAI CLINIC WOUND CLINIC
2120 W IRONWOOD CENTER DR

COEUR D'ALENE, ID 83814

#13D2125356
(208) 625-6944 2/5/2021 Community Clinic
Waiver
KOOTENAI CLINIC-VASCULAR SURGERY
700 IRONWOOD STE 350

COEUR D'ALENE, ID 83814

#13D2171295
(208) 625-5225 8/27/2021 Physician Office
Waiver
KOOTENAI COUNTY JAIL
5500 N GOVERNMENT WAY

COEUR D ALENE, ID 83816

#13D2017109
(720) 612-6679 12/11/2020 Prison
Waiver
KOOTENAI HAND & RECONSTRUCTIVE SURGERY
2121 IRONWOOD CENTER DR

COEUR D'ALENE, ID 83814

#13D0710826
(208) 664-8944 8/31/2020 Ambulatory Surgery Center
Accreditation
KOOTENAI HEALTH MAIN LABORATORY
2003 KOOTENAI HEALTH WAY

COEUR D'ALENE, ID 83814

#13D0522151
(208) 664-7432 3/14/2021 Hospital
PPM
KOOTENAI HEALTH NEPHROLOGY
700 W IRONWOOD DR #375

COEUR D'ALENE, ID 83814

#13D2041592
(208) 666-9541 5/23/2020 Physician Office
Compliance
KOOTENAI HEALTH POST FALLS HEALTH PARK LABORATORY
1300 E MULLAN AVE

POST FALLS, ID 83854

#13D1081769
(208) 625-4945 9/4/2021 Ancillary Testing Site
Waiver
KOOTENAI OCCUPATIONAL MEDICINE
1112 W IRONWOOD DR

COEUR D'ALENE, ID 83814

#13D2170375
(208) 292-2959 8/8/2021 Other
Waiver
KOOTENAI OUTPATIENT IMAGING POST FALLS
1300 E MULLAN AVE #700

POST FALLS, ID 83854

#13D2102770
(208) 625-6300 9/28/2021 Ancillary Testing Site
Waiver
KOOTENAI OUTPATIENT SURGERY
707 W IRONWOOD DR

COEUR D'ALENE, ID 83814

#13D2170378
(208) 625-6428 8/8/2021 Ambulatory Surgery Center
PPM
KOOTENAI TRIBAL HEALTH CLINIC
100 CIRCLE DR

BONNERS FERRY, ID 83805

#13D0885727
(208) 267-5223 6/21/2021 Community Clinic
Accreditation
KOOTENAI URGENT CARE
700 W IRONWOOD DR #120E

COEUR D'ALENE, ID 83814

#13D0980688
(208) 625-4218 10/26/2021 Other
Accreditation
KOOTENAI URGENT CARE
1300 E MULLAN AVE #600

POST FALLS, ID 83854

#13D1022651
(208) 625-4218 10/26/2021 Other
Accreditation
KOOTENAI URGENT CARE
566 W PRAIRIE AVE

COEUR D ALENE, ID 83815

#13D2007769
(208) 625-4218 10/26/2021 Other
Waiver
KOOTENAI VISION CENTER
1801 N 3RD ST

COEUR D'ALENE, ID 83814

#13D2105858
(208) 667-1591 12/3/2019 Other Practitioner
Waiver
KOOTENAI VISION CENTER
1101 E POLSTON AVE STE B

POST FALLS, ID 83854

#13D2111802
(208) 773-2020 4/14/2020 Physician Office
Compliance
L WILLIAM D NOWIERSKI, MD
100 E WARM SPRINGS AVE, STE #A

BOISE, ID 83712

#13D0521523
(208) 343-5910 1/11/2020 Physician Office
Compliance
LABORATORY CORPORATION OF AMERICA
444 HOSPITAL WAY #401

POCATELLO, ID 83205

#13D0520330
(208) 232-6740 6/7/2021 Independent
Compliance
LABORATORY CORPORATION OF AMERICA
914 W IRONWOOD DR #101

COEUR D'ALENE, ID 83814

#13D1016580
(208) 666-5569 6/28/2020 Independent
Compliance
LABORATORY CORPORATION OF AMERICA
1965 S EAGLE RD STE 130

MERIDIAN, ID 83642

#13D0919706
(208) 888-6535 10/9/2020 Independent
Waiver
LABORATORY CORPORATION OF AMERICA
740 MCKINLEY AVE

KELLOGG, ID 83837

#13D2161654
(208) 784-1990 2/6/2021 Independent
Waiver
LABORATORY CORPORATION OF AMERICA
925 E POLSTON AVE

POST FALLS, ID 83854

#13D2161656
(208) 777-0385 2/6/2021 Independent
Waiver
LABORATORY CORPORATION OF AMERICA
16760 N HIGHWAY 41

RATHDRUM, ID 83858

#13D2161657
(208) 687-8580 2/6/2021 Independent
Waiver
LABORATORY CORPORATION OF AMERICA
1090 W PARK PLACE

COEUR D'ALENE, ID 83814

#13D2161659
(208) 666-5933 2/6/2021 Independent
Waiver
LACROSSE HEALTH & REHABILITATION CENTER
210 W LACROSSE AVE

COEUR D'ALENE, ID 83814

#13D2054638
(208) 664-2185 2/25/2021 Skilled Nursing Facility/Nursing Facility
Waiver
LADD FAMILY PHARMACY
1109 S BROADWAY AVE

BOISE, ID 83706

#13D1096463
(208) 947-0877 3/4/2021 Pharmacy
PPM
LAKELAND FAMILY MEDICINE
1404 E SHERMAN AVE

COEUR D'ALENE, ID 83814

#13D0962960
(208) 666-0909 7/18/2021 Physician Office
Waiver
LAKELAND IMMEDIATE CARE
15622 N HIGHWAY 41

RATHDRUM, ID 83858

#13D2057311
(208) 687-4878 4/14/2021 Other
Waiver
LAKESIDE MEDICINE
1005 HIGHWAY 2 WEST

SANDPOINT, ID 83864

#13D2156095
(208) 290-3302 10/9/2020 Other Practitioner
Waiver
LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE
980 W IRONWOOD DR #302

COEUR D'ALENE, ID 83814

#13D1004948
(208) 292-5437 12/14/2020 Physician Office
Waiver
LAKEVIEW MEDICAL CLINIC
300 S 3RD W

SODA SPRINGS, ID 83276

#13D0966951
(208) 547-3118 12/1/2020 Physician Office
Waiver
LAMB WESTON
2975 LAMB WESTON RD

AMERICAN FALLS, ID 83211

#13D2068737
(208) 226-1454 11/11/2021 Health Fair
PPM
LATAH COMMUNITY HEALTH
803 S MAIN ST STE 120

MOSCOW, ID 83843

#13D2102630
(509) 444-8888 9/24/2021 Federally Qualified Health Center
Waiver
LATAH COUNTY JAIL-MEDICAL
522 S ADAMS ST

MOSCOW, ID 83843

#13D2173593
(208) 750-2088 10/15/2021 Prison
Waiver
LAVONNE R MILLS MD
3307 N STEPHANIE RD

POCATELLO, ID 83204

#13D1089078
(208) 233-1167 9/9/2020 Other
Compliance
LAWRENCE K GIBBON MD
185 W 4TH AVE #B

POST FALLS, ID 83854

#13D0522313
(208) 773-1592 6/1/2020 Physician Office
Waiver
LEAVITT WOMEN'S HEALTH CARE
1550 ELK CREEK DR

IDAHO FALLS, ID 83404

#13D1043919
(208) 529-5942 11/6/2020 Physician Office
PPM
LEE SELF MD
80 W COTTONWOOD CT #100

EAGLE, ID 83616

#13D1022842
(208) 938-2553 3/2/2020 Physician Office
Waiver
LEGACY HEALTH PARTNERS
333 S WOODRUFF AVE

IDAHO FALLS, ID 83401

#13D2150793
(208) 522-2591 7/2/2020 Other Practitioner
Waiver
LEGENDS PARK ASSISTED LIVING
1820 N LEGENDS PARKWAY

COEUR D ALENE, ID 83815

#13D2011402
(208) 666-9900 8/16/2020 Assisted Living Facility
Waiver
LEWIS & CLARK OUTPATIENT SURGERY
318 WARNER DR

LEWISTON, ID 83501

#13D1021396
(208) 298-1051 1/21/2020 Ambulatory Surgery Center
PPM
LEWIS AND CLARK HEALTH CENTER
1203 IDAHO ST

LEWISTON, ID 83501

#13D1101755
(208) 848-8300 7/5/2021 Community Clinic
PPM
LEWIS CLARK KIDNEY & HYPERTENSION CLINIC
2124 12TH AVE

LEWISTON, ID 83501

#13D2072959
(208) 743-9986 2/9/2020 Other Practitioner
Waiver
LEWIS-CLARK KIDNEY CENTER, LLC
2116 12TH AVE

LEWISTON, ID 83501

#13D2092101
(208) 743-0662 2/25/2021 End Stage Renal Disease Facility
Waiver
LEWISTON TRANSTITIONAL CARE OF CASCADIA
3315 8TH ST

LEWISTON, ID 83501

#13D0521107
(208) 743-9543 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LIBERTY DIALYSIS
4620 ENTERPRISE WAY

CALDWELL, ID 83605

#13D2013218
(208) 454-1101 9/16/2021 End Stage Renal Disease Facility
Waiver
LIBERTY DIALYSIS - MERIDIAN
3525 E LOUISE DR #100

MERIDIAN, ID 83642

#13D1038652
(208) 747-0880 3/23/2021 End Stage Renal Disease Facility
Waiver
LIBERTY DIALYSIS - NAMPA
280 W GEORGIA AVE

NAMPA, ID 83686

#13D1062892
(208) 469-8558 12/28/2020 End Stage Renal Disease Facility
Waiver
LIBERTY DIALYSIS - SANDPOINT
1210 WASHINGTON AVE

SANDPOINT, ID 83864

#13D1095663
(208) 762-7760 2/12/2021 End Stage Renal Disease Facility
Waiver
LIBERTY DIALYSIS-HAYDEN LLC
8556 N WAYNE DRIVE

HAYDEN, ID 83835

#13D1078168
(206) 236-5001 1/2/2022 End Stage Renal Disease Facility
Waiver
LIFE CARE CENTER OF BOISE
808 N CURTIS RD

BOISE, ID 83706

#13D0646358
(208) 376-5273 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LIFE CARE CENTER OF COEUR D'ALENE
500 W AQUA AVE

COEUR D'ALENE, ID 83814

#13D0919711
(208) 762-1122 9/12/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LIFE CARE CENTER OF IDAHO FALLS
2725 E 17TH ST

IDAHO FALLS, ID 83406

#13D0520970
(208) 529-4567 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LIFE CARE CENTER OF LEWISTON
325 WARNER DRIVE

LEWISTON, ID 83501

#13D0934334
(208) 798-8500 10/2/2021 Skilled Nursing Facility/Nursing Facility
Waiver
LIFE CARE CENTER OF POST FALLS
460 N GARDEN PLAZA COURT

POST FALLS, ID 83854

#13D1088507
(208) 777-0318 8/26/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LIFE CARE CENTER OF TREASURE VALLEY
502 N KIMBALL PLACE

BOISE, ID 83704

#13D0922899
(208) 377-1900 12/9/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LIFE CHOICES CLINIC
2020 12TH AVE

LEWISTON, ID 83501

#13D1067954
(208) 746-9704 4/29/2021 Other
Waiver
LIFE CHOICES PREGNANCY CENTER & MED CLINIC
502 N 2ND AVE

SANDPOINT, ID 83864

#13D2018789
(208) 263-7621 1/13/2021 Other
PPM
LIFE STAGES OB/GYN AND FAMILY PRACTICE
3908 E FLAMINGO AVE

NAMPA, ID 83687

#13D1039565
(208) 442-8035 4/17/2021 Physician Office
Waiver
LIFECARE CENTER OF SANDPOINT
1125 N DIVISION ST

SANDPOINT, ID 83864

#13D0930061
(208) 265-9299 6/26/2021 Skilled Nursing Facility/Nursing Facility
Waiver
LIFESTYLE BALANCE PROGRAM
427 N 12TH ST

PLUMMER, ID 83851

#13D1092732
(208) 686-1931 12/2/2020 Health Fair
Waiver
LIFETIME OPTOMETRY
10454 OVERLAND RD

BOISE, ID 83709

#13D2067514
(208) 672-1370 9/16/2020 Other Practitioner
Waiver
LIFEWAYS HOSPITAL
8050 W NORTHVIEW ST

BOISE, ID 83704

#13D0858805
(208) 327-0504 1/10/2020 Hospital
Waiver
LIFEWAYS INC
2609 S 10TH AVE STE 102

CALDWELL, ID 83605

#13D2123498
(541) 889-9167 12/20/2020 Other
Waiver
LIFEWAYS INC
824 S DIAMOND ST

NAMPA, ID 83686

#13D2123676
(541) 889-9167 12/27/2020 Other
Waiver
LIGHTHOUSE HOSPICE
2667 E GALA CT STE 110

MERIDIAN, ID 83642

#13D2131361
(208) 576-6383 5/25/2021 Hospice
Waiver
LINCOLN COUNTY CARE CENTER
511 E 4TH ST

SHOSHONE, ID 83352

#13D0520770
(208) 886-2228 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
LINCOLN COURT RETIREMENT COMMUNITY
850 LINCOLN DR

IDAHO FALLS, ID 83401

#13D2110067
(208) 529-3456 3/7/2020 Assisted Living Facility
Waiver
LONGSHOT ENTERPRISE DBA HOME HELPERS HOME HEALTH
353 E LANDER ST

POCATELLO, ID 83201

#13D2103424
(208) 234-2380 10/12/2021 Home Health Agency
PPM
LORENE H LINDLEY, MD PC
13859 NORTH REFLECTION RD

RATHDRUM, ID 83858

#13D0994326
(208) 664-8818 1/14/2021 Other Practitioner
Compliance
LOST RIVERS MEDICAL CENTER
551 HIGHLAND DR

ARCO, ID 83213

#13D0056438
(208) 252-7654 4/6/2021 Hospital
Waiver
LOVING CARE AND MORE
104 WINDRIVER ROAD

SILVERTON, ID 83867

#13D1104016
(208) 752-1019 8/23/2021 End Stage Renal Disease Facility
Waiver
LUKE'S FAMILY PHARMACY
101 S MAIN ST

HAILEY, ID 83333

#13D2145453
(208) 788-4979 3/6/2020 Pharmacy
Waiver
LUTHER PARK AT SANDPOINT
510 S OLIVE

SANDPOINT, ID 83864

#13D2104783
(208) 265-3557 11/11/2021 Assisted Living Facility
Waiver
M TERRY JEPPSON MD
1501 HILAND AVE #B

BURLEY, ID 83318

#13D0520650
(208) 878-2229 5/14/2020 Physician Office
Waiver
MAAG PRESCRIPTION CENTER LLC
333 W CENTER ST

POCATELLO, ID 83204

#13D2158548
(208) 233-2063 11/29/2020 Pharmacy
PPM
MACHEN FAMILY MEDICINE
3500 POTOMAC WAY #100

IDAHO FALLS, ID 83404

#13D0870437
(208) 522-7666 6/12/2021 Physician Office
Waiver
MADISON AVENUE SURGERY CENTER LLC
1855 MADISON AVE

IDAHO FALLS, ID 83404

#13D2124532
(208) 881-5351 1/18/2021 Ambulatory Surgery Center
Waiver
MADISON CARRIAGE COVE SHORT STAY REHABILITATION
410 W 1ST N

REXBURG, ID 83440

#13D2073676
(208) 359-7676 2/23/2020 Skilled Nursing Facility/Nursing Facility
Waiver
MADISON CLINIC
240 E MAIN ST

REXBURG, ID 83440

#13D0521000
(208) 356-8808 8/6/2020 Physician Office
Waiver
MADISON CLINIC PHYSICIANS
450 E MAIN ST

REXBURG, ID 83440

#13D2087282
(208) 359-6955 11/19/2020 Physician Office
Compliance
MADISON MEMORIAL HOSPITAL LAB
450 E MAIN ST

REXBURG, ID 83440

#13D0521001
(208) 359-6441 3/23/2021 Hospital
Compliance
MADISON MEMORIAL OUTPATIENT SERVICES
255 N 3RD E

REXBURG, ID 83440

#13D2064353
(208) 359-6939 2/18/2020 Physician Office
Waiver
MADISON MEMORIAL SURGERY CENTER
381 E 4TH N #200

REXBURG, ID 83440

#13D1061927
(208) 359-2300 11/30/2020 Ambulatory Surgery Center
Compliance
MADISON WOMENS CLINIC
15 MADISON PROFESSIONAL PARK

REXBURG, ID 83440

#13D0520986
(208) 356-6185 8/10/2021 Physician Office
PPM
MADISON WOMENS CLINIC
711 RIGBY LAKE DR STE 103B

RIGBY, ID 83442

#13D2128749
(208) 745-0315 4/30/2020 Physician Office
PPM
MAGIC VALLEY FAMILY PRACTICE
2167 VILLAGE PARK AVE STE 300

TWIN FALLS, ID 83301

#13D1068152
(208) 733-5117 5/2/2021 Other Practitioner
Waiver
MAGIC VALLEY KIDNEY CENTER
350 N HAVEN DR

TWIN FALLS, ID 83301

#13D2058331
(208) 236-5001 5/5/2021 End Stage Renal Disease Facility
Waiver
MAGIC VALLEY MEDICINE
844 WASHINGTON ST STE 400

TWIN FALLS, ID 83301

#13D2112426
(208) 734-0000 4/27/2020 Physician Office
Waiver
MAGIC VALLEY PARAMEDICS
285 MARTIN ST

TWIN FALLS, ID 83301

#13D2058272
(208) 814-9025 5/2/2021 Ambulance
PPM
MAIN FAMILY MEDICAL
203 W MAIN ST

BOISE, ID 83702

#13D2099327
(208) 336-7722 7/23/2021 Physician Office
Waiver
MAPLE GROVE EYE CLINIC
8955 W HACKAMORE DR

BOISE, ID 83709

#13D2000453
(208) 344-7944 11/30/2019 Physician Office
Waiver
MARATHON HEALTH CENTER AT BASIC AMERICAN FOODS
415 W COLLINS RD

BLACKFOOT, ID 83221

#13D2099757
(208) 690-3034 7/30/2021 Other
PPM
MARGARET LEVERETT RNCNP PLLC
2305 CORONADO ST

IDAHO FALLS, ID 83404

#13D1061008
(208) 535-4060 11/7/2020 Other
Compliance
MARIMN HEALTH
427 N 12TH ST

PLUMMER, ID 83851

#13D0669093
(208) 686-1931 6/29/2020 Rural Health Clinic
Waiver
MARSDEN WOMAN & FAMILY HEALTHCARE
2275 CHANNING WAY

IDAHO FALLS, ID 83404

#13D2171441
(208) 900-3434 8/29/2021 Physician Office
Waiver
MARSING CHIROPRACTIC
7A REICH ST

MARSING, ID 83639

#13D2079468
(208) 896-5520 6/16/2020 Physician Office
Waiver
MCCALL REHABILITATION & CARE CENTER
418 FLOYDE STREET

MC CALL, ID 83638

#13D0725835
(208) 634-2112 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
MEADOW LAKE SURGERY CENTER
3630 E LOUISE DR

MERIDIAN, ID 83642

#13D2017234
(208) 377-9515 12/6/2020 Ambulatory Surgery Center
Waiver
MEADOW VIEW NURSING AND REHABILITATION
46 N MIDLAND BLVD

NAMPA, ID 83651

#13D0521390
(208) 466-7803 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
MEDICAL CLINIC PHARMACY
315 E ELM ST STE 150

CALDWELL, ID 83605

#13D2150047
(208) 459-1503 6/14/2020 Pharmacy
Waiver
MEDICAL CONSULTING SERVICES
3023 E COPPER POINT DR STE 110

MERIDIAN, ID 83642

#13D2140046
(208) 514-0518 11/13/2021 Physician Office
Compliance
MEDICAL ONCOLOGY ASSOCIATES PS
2855 E MAGIC VIEW DR STE B

MERIDIAN, ID 83642

#13D2154943
(208) 888-8209 8/25/2021 Physician Office
Compliance
MEDICAL ONCOLOGY ASSOCIATES PS
1641 E POLSTON AVE STE 102

POST FALLS, ID 83854

#13D2119538
(208) 618-5212 8/16/2020 Physician Office
Waiver
MEDICINE MAN ATHOL
30585 N ROBERTS RD

ATHOL, ID 83801

#13D2151278
(208) 683-1309 7/16/2020 Pharmacy
Waiver
MEDICINE MAN BONNERS FERRY PHARMACY
6452 MAIN STREET

BONNERS FERRY, ID 83805

#13D2100794
(208) 647-4021 8/20/2021 Pharmacy
Waiver
MEDICINE MAN PRAIRIE
8093 N CORNERSTONE DR

HAYDEN, ID 83835

#13D0966830
(208) 762-9355 7/23/2020 Pharmacy
Waiver
MEDICINE MAN WEST PHARMACY
802 E MEDICAL COURT

POST FALLS, ID 83854

#13D2152031
(208) 773-3566 7/31/2020 Pharmacy
PPM
MERIDIAN FAMILY MEDICINE
1525 E LEIGH FIELD DR #150

MERIDIAN, ID 83642

#13D1062113
(208) 888-1199 12/5/2020 Physician Office
Waiver
MERIDIAN MEADOWS TRANSITIONAL CARE
2656 MAGIC VIEW DR

MERIDIAN, ID 83642

#13D2171714
(208) 251-2905 9/8/2021 Skilled Nursing Facility/Nursing Facility
Waiver
MERIDIAN PEDIATRICS PC
3653 N LOCUST GROVE

MERIDIAN, ID 83642

#13D1063397
(208) 338-5437 11/18/2021 Physician Office
Waiver
MIDVALLEY HEALTHCARE
2321 E GALA STREET #3

MERIDIAN, ID 83642

#13D2000203
(208) 888-5848 11/22/2021 Physician Office
Waiver
MIKE'S PHARMACY
180 SO HOLMES AVE

IDAHO FALLS, ID 83401

#13D2154433
(208) 525-8700 9/11/2020 Pharmacy
Waiver
MILLENNIUM SURGERY CENTER
1828 S MILLENNIUM WAY #11

MERIDIAN, ID 83642

#13D1017625
(208) 381-0262 9/29/2021 Ambulatory Surgery Center
Waiver
MINI CASSIA CARE CENTER
1729 MILLER AVE

BURLEY, ID 83318

#13D0703581
(208) 678-9474 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
MINIDOKA HOME HEALTH & HOSPICE
1218 9TH STREET STE #4

RUPERT, ID 83350

#13D2117268
(208) 436-9019 8/11/2020 Home Health Agency
Waiver
MINIDOKA MEDICAL CENTER
1308 8TH ST STE 1

RUPERT, ID 83350

#13D0922942
(208) 436-4322 12/10/2021 Physician Office
Compliance
MINIDOKA MEMORIAL HOSPITAL
1224 8TH ST

RUPERT, ID 83350

#13D0701400
(208) 436-0481 1/13/2021 Hospital
Waiver
MINIMALLY INVASIVE SURGERY
750 N SYRINGA #103

POST FALLS, ID 83854

#13D1033649
(208) 415-0151 11/14/2020 Physician Office
PPM
MONARCH HEALTHCARE
1660 JOHN ADAMS PARKWAY

IDAHO FALLS, ID 83402

#13D2108332
(208) 535-0440 2/1/2020 Physician Office
PPM
MONARCH HEALTHCARE - IDAHO FALLS
2990 CORTEZ AVE

IDAHO FALLS, ID 83404

#13D1036443
(208) 535-4400 2/3/2021 Physician Office
Waiver
MONARCH HEALTHCARE - VICTOR
338 MOUNTAINSIDE BLVD

VICTOR, ID 83455

#13D2044958
(208) 535-0440 8/2/2020 Physician Office
Waiver
MONARCH MEDICAL GROUP
370 N HAVEN DR #200

TWIN FALLS, ID 83301

#13D2173697
(208) 733-1112 10/16/2021 Physician Office
Waiver
MONTE VISTA HILLS HEALTH CARE CENTER
1071 RENEE AVE

POCATELLO, ID 83201

#13D0520337
(208) 233-1411 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
MORGAN FAMILY MEDICINE LLC
1660 WOODSAGE AVE BLDG A

MERIDIAN, ID 83642

#13D2171191
(208) 906-1231 8/26/2021 Other Practitioner
Waiver
MOSCOW DIALYSIS CENTER
212 RODEO DR #110

MOSCOW, ID 83843

#13D1101987
(208) 882-5925 7/8/2021 End Stage Renal Disease Facility
PPM
MOSCOW MEDICAL PA
213 N MAIN ST

MOSCOW, ID 83843

#13D0522285
(208) 882-7565 8/23/2020 Rural Health Clinic
Waiver
MOSCOW OF CASCADIA
420 ROWE ST

MOSCOW, ID 83843

#13D0707211
(208) 882-4576 8/31/2020 Skilled Nursing Facility/Nursing Facility
PPM
MOSCOW PULLMAN OB/GYN
623 S MAIN ST #5

MOSCOW, ID 83843

#13D0879418
(208) 883-0813 3/28/2020 Physician Office
PPM
MOUNTAIN PINE DERMATOLGY
1818 S 10TH AVE STE 240

CALDWELL, ID 83605

#13D2167724
(208) 898-7467 6/12/2021 Physician Office
PPM
MOUNTAIN PINE DERMATOLOGY
1202 E LOCUST ST

EMMETT, ID 83617

#13D2155360
(208) 878-7467 9/26/2020 Physician Office
PPM
MOUNTAIN PINE DERMATOLOGY
110 RATTLESNAKE ST STE B

MOUNTAIN HOME, ID 83647

#13D2155363
(208) 898-7467 9/26/2020 Physician Office
Compliance
MOUNTAIN PINE DERMATOLOGY PLLC
1576 W DEER CREST ST STE #100

MERIDIAN, ID 83646

#13D2120213
(208) 898-7467 11/27/2020 Physician Office
Waiver
MOUNTAIN STATES CHEMICAL DEPENDECY & COUSELING SVS
1305 2ND ST S #201

NAMPA, ID 83651

#13D2099308
(208) 463-0202 7/23/2021 Comp Outpatient Rehab Facility
Accreditation
MOUNTAIN STATES TUMOR INSTITUTE - NAMPA
308 E HAWAII AVE

NAMPA, ID 83686

#13D0699746
(208) 463-6012 4/26/2021 Other
Waiver
MOUNTAIN VALLEY OF CASCADIA
601 W CAMERON AVE

KELLOGG, ID 83837

#13D0933598
(208) 784-1283 9/15/2021 Skilled Nursing Facility/Nursing Facility
PPM
MOUNTAIN VIEW FAMILY MEDICINE
2006 BIRDIE THOMPSON DR

POCATELLO, ID 83201

#13D0939873
(208) 232-1132 11/19/2020 Physician Office
Waiver
MOUNTAIN VIEW FAMILY MEDICINE
1309 PONDEROSA DR #103

SANDPOINT, ID 83864

#13D1083637
(208) 263-9545 5/6/2020 Physician Office
PPM
MOUNTAIN VIEW FAMILY PRACTICE
301 S DIVISION ST

PINEHURST, ID 83850

#13D2030574
(208) 682-9200 9/29/2021 Physician Office
Accreditation
MOUNTAIN VIEW HOSPITAL
ATTN LABORATORY
2325 CORONADO ST
IDAHO FALLS, ID 83404

#13D1004238
(208) 557-2576 12/10/2020 Hospital
Compliance
MOUNTAIN VIEW HOSPITAL PATHOLOGY
2325 CORONADO ST

IDAHO FALLS, ID 83404

#13D2121595
(208) 557-2576 6/27/2020 Hospital
Accreditation
MOUNTAIN VIEW REDICARE - CHANNING
2730 CHANNING WAY

IDAHO FALLS, ID 83404

#13D1076417
(208) 542-7100 8/14/2020 Other
PPM
MOUNTAIN WEST DERMATOLOGY
3425 S MERLIN DR #200

IDAHO FALLS, ID 83404

#13D1056608
(208) 528-6653 7/19/2020 Physician Office
Waiver
MOUNTAIN WEST EAR NOSE & THROAT
1582 ELK CREEK DR

IDAHO FALLS, ID 83404

#13D2051528
(208) 542-5414 12/19/2020 Physician Office
Waiver
MOUNTAIN WEST MEDICAL SERVICES PLLC
1067 S WELLS ST STE 210

MERIDIAN, ID 83642

#13D2125343
(208) 229-8739 2/5/2021 Other Practitioner
Waiver
MT VIEW ADVANCED WOUND CARE INFUSION & HYPERBARIC
2377 CORONADO ST

IDAHO FALLS, ID 83404

#13D2152676
(208) 557-2570 8/13/2020 Other
Waiver
MULTICARE HOME HEALTH SERVICES INC
324 S MERIDIAN ROAD

MERIDIAN, ID 83642

#13D1030735
(208) 884-5497 9/13/2020 Home Health Agency
Registration
MULTICARE ROCKWOOD POST FALLS SPECIALTY CENTER
750 N SYRINGA ST STE 204

POST FALLS, ID 83854

#13D2164244
(509) 342-3500 3/31/2021 Physician Office
Waiver
MULTIHEALTH SYSTEMS LLC
118 W NEIDER AVE STE B

COEUR D ALENE, ID 83815

#13D2169779
(208) 930-1819 7/25/2021 Home Health Agency
Compliance
MVH PC SPECIALIST LLC
110 VISTA DR

POCATELLO, ID 83201

#13D0935096
(208) 234-2300 10/27/2020 Physician Office
Waiver
NAMPA DIALYSIS CENTER
846 PARKCENTRE WAY

NAMPA, ID 83651

#13D1090978
(208) 467-5180 10/21/2020 End Stage Renal Disease Facility
Waiver
NAMPA DIRECT CARE PLLC
974 W CORPORATE LANE STE #102

NAMPA, ID 83651

#13D2145158
(208) 252-9404 3/1/2020 Physician Office
Waiver
NAMPA FAMILY JUSTICE CENTER
1305 3RD ST S

NAMPA, ID 83651

#13D1078169
(208) 475-5700 1/2/2022 Other
Waiver
NANCY PARRY MD
431 WALNUT AVE N

KETCHUM, ID 83340

#13D0960181
(208) 622-3180 12/16/2020 Physician Office
Waiver
NEED-A-NURSE MEDICAL STAFFING LLC
476 E CHUBBUCK RD

CHUBBUCK, ID 83202

#13D2074793
(208) 233-9898 3/16/2020 Physician Office
Compliance
NELL J REDFIELD MEMORIAL HOSPITAL
150 N 200 W

MALAD CITY, ID 83252

#13D0705741
(208) 766-2231 6/7/2021 Hospital
Accreditation
NIMIIPUU HEALTH - LAPWAI
111 BEVER GRADE RD

LAPWAI, ID 83540

#13D0959073
(208) 843-2271 5/13/2020 Community Clinic
Compliance
NORTH AMERICAN CRYOBANK INC
2417 BANK DR #B1

BOISE, ID 83705

#13D2084786
(208) 985-0383 2/10/2020 Independent
Waiver
NORTH CANYON BUHL CLINIC
718 HWY 30 E

BUHL, ID 83316

#13D2155265
(208) 543-4785 9/25/2020 Rural Health Clinic
Compliance
NORTH CANYON MEDICAL CENTER INC
267 NORTH CANYON DR

GOODING, ID 83330

#13D0520679
(208) 934-4463 1/24/2021 Hospital
Waiver
NORTH IDAHO AIDS COALITION
2201 GOVERNMENT WAY #E

COEUR D'ALENE, ID 83814

#13D2003189
(208) 665-1448 2/2/2020 Other
Waiver
NORTH IDAHO CATARACT AND LASER CENTER
1814 LINCOLN WAY

COEUR D'ALENE, ID 83814

#13D0952902
(208) 664-2600 10/20/2020 Ambulatory Surgery Center
Waiver
NORTH IDAHO CORRECTIONAL INSTITUTION
236 RADAR ROAD

COTTONWOOD, ID 83522

#13D0949356
(208) 962-7220 7/30/2020 Other
Waiver
NORTH IDAHO CRISIS CENTER
2195 IRONWOOD COURT #D

COEUR D'ALENE, ID 83814

#13D2106994
(208) 625-4884 1/4/2020 Other
PPM
NORTH IDAHO DERMATOLOGY
476394 HWY 95

PONDERAY, ID 83852

#13D2022809
(208) 665-7546 3/6/2021 Physician Office
Compliance
NORTH IDAHO DERMATOLOGY - CDA
2199 N MERRITT CREEK LOOP

COEUR D'ALENE, ID 83814

#13D0966533
(208) 665-7546 5/29/2020 Physician Office
PPM
NORTH IDAHO DERMATOLOGY - MOSCOW
619 S WASHINGTON ST #302

MOSCOW, ID 83843

#13D2066328
(208) 665-7546 9/24/2021 Physician Office
Waiver
NORTH IDAHO DIALYSIS
2100 IRONWOOD CT #A

COEUR D'ALENE, ID 83814

#13D0723819
(208) 664-3064 3/6/2021 End Stage Renal Disease Facility
Waiver
NORTH IDAHO DIRECT PRIMARY CARE
8880 N HESS ST #1

HAYDEN, ID 83835

#13D1034518
(208) 772-5204 6/22/2020 Physician Office
Waiver
NORTH IDAHO HOME HEALTH
850 W KATHLEEN AVE

COEUR D ALENE, ID 83815

#13D0888272
(208) 667-7494 6/28/2020 Home Health Agency
Waiver
NORTH IDAHO LUNG, ASTHMA AND CRITICAL CARE, LLC
700 W IRONWOOD DR #378

COEUR D'ALENE, ID 83814

#13D0953416
(208) 765-1252 11/1/2020 Physician Office
PPM
NORTH IDAHO NEPHROLOGY ASSOCIATES
8836 N HESS ST #C

HAYDEN, ID 83835

#13D1092669
(208) 762-7760 12/1/2020 Physician Office
Waiver
NORTH IDAHO PAIN CENTER
1686 W RIVERSTONE DR

COEUR D'ALENE, ID 83814

#13D2031122
(208) 765-4807 10/12/2021 Ambulatory Surgery Center
Waiver
NORTH IDAHO PREGNANCY SUPPORT CENTER
2010 N LUCAS ST

POST FALLS, ID 83854

#13D2070351
(208) 773-4715 12/12/2021 Other
Compliance
NORTH IDAHO UROLOGY
980 W IRONWOOD DR #104

COEUR D'ALENE, ID 83814

#13D0522069
(208) 667-0621 9/26/2020 Physician Office
PPM
NORTH IDAHO UROLOGY - SANDPOINT
420 N 2ND AVE

SANDPOINT, ID 83864

#13D0707947
(208) 263-2335 9/26/2020 Physician Office
Accreditation
NORTHERN IDAHO ADVANCED CARE HOSPITAL
600 N CECIL RD

POST FALLS, ID 83854

#13D1050336
(208) 262-2800 7/12/2021 Hospital
Waiver
NORTHPOINT RECOVERY LLC
10787 W USTICK RD

BOISE, ID 83713

#13D2094887
(208) 672-1801 4/26/2021 Other
Waiver
NORTHSTAR HEALTHCARE
1017 E YOUNG AVE

POCATELLO, ID 83201

#13D2099989
(208) 233-2301 8/4/2021 Other Practitioner
PPM
NORTHSTAR HEALTHCARE
1995 E 17TH ST #2

IDAHO FALLS, ID 83404

#13D1023169
(208) 529-2352 3/8/2020 Physician Office
PPM
NORTHWEST CLINICAL TRIALS
888 N COLE RD

BOISE, ID 83704

#13D1055590
(208) 685-0600 10/5/2020 Other
Waiver
NORTHWEST INTERNAL MEDICINE
1551 E MULLAN AVE

POST FALLS, ID 83854

#13D2099320
(208) 262-2600 7/23/2021 Other Practitioner
Waiver
NORTHWEST NAZARENE UNIVERSITY-WELLNESS CENTER
518 E DEWEY AVE

NAMPA, ID 83686

#13D2141085
(208) 467-8466 12/6/2021 School/Student Health Service
Waiver
NORTHWEST PHARMACY
525 PINE STREET

POTLATCH, ID 83855

#13D1088430
(208) 875-1212 8/25/2020 Pharmacy
Waiver
NORTHWEST PHYSICAL MEDICINE & REHAB
6140 W CURTISIAN AVE #400

BOISE, ID 83704

#13D2031795
(208) 327-5650 10/26/2021 Physician Office
Waiver
NORTHWEST SPECIALTY HOSPITAL DBA
1593 E POLSTON AVE

POST FALLS, ID 83854

#13D2011399
(208) 262-2356 8/16/2020 Hospital
Waiver
NORTHWEST URGENT CARE & OCCUPATIONAL MEDICINE
315 W DALTON AVE

COEUR D ALENE, ID 83815

#13D2032936
(208) 209-2060 11/17/2021 Physician Office
Waiver
NOT TSOO GAH NEE INDIAN HEALTH CLINIC
MISSION ROAD

FORT HALL, ID 83203

#13D1056783
(208) 238-5400 7/24/2020 Physician Office
Waiver
OAK CREEK REHABILITATION CENTER OF KIMBERLY
500 POLK ST E #K

KIMBERLY, ID 83341

#13D0703636
(208) 423-5591 8/31/2020 Skilled Nursing Facility/Nursing Facility
Compliance
OB-GYN ASSOCIATES OF IDAHO FALLS
2065 E 17TH ST #D

IDAHO FALLS, ID 83404

#13D0520943
(208) 522-0747 8/29/2020 Physician Office
Compliance
OB/GYN ASSOCIATES
3520 E LOUISE DR

MERIDIAN, ID 83642

#13D0964970
(208) 888-0909 11/13/2020 Physician Office
PPM
OB/GYN ASSOCIATES
3101 E STATE ST #2100

EAGLE, ID 83616

#13D1085604
(208) 888-0909 6/22/2020 Physician Office
PPM
OB/GYN ASSOCIATES - NAMPA
9850 W ST LUKE'S DR #221

NAMPA, ID 83687

#13D2056576
(208) 888-0909 3/28/2021 Physician Office
Waiver
OBSTETRIX OF THE MOUNTAIN STATES
3200 CHANNING WAY #102A

IDAHO FALLS, ID 83404

#13D2051530
(208) 528-2925 12/19/2020 Physician Office
Waiver
ODYSSEY HEALTHCARE OPERATING B LP
1230 NORTHWOOD CENTER CT STE B

COEUR D'ALENE, ID 83814

#13D2155691
(704) 662-0416 10/2/2020 Hospice
Waiver
OMEGA HEALTH SERVICES
5985 W STATE ST

BOISE, ID 83703

#13D1042537
(208) 853-0071 1/21/2021 Physician Office
Waiver
ON SEMICONDUCTORS
2300 BUCKSKIN RD

POCATELLO, ID 83201

#13D2090198
(208) 234-6933 2/8/2020 Industrial
Waiver
ON SITE FOR SENIORS INC
1052 W MILL AVE

COEUR D'ALENE, ID 83814

#13D1077126
(208) 664-3301 12/2/2021 Physician Office
Waiver
ONEIDA COUNTY CLINIC
220 BANNOCK ST

MALAD CITY, ID 83252

#13D1056606
(208) 766-2600 7/19/2020 Community Clinic
Waiver
ONESOURCE HHC LLC
1680 ELK CREEK DR

IDAHO FALLS, ID 83404

#13D2003306
(208) 524-0685 2/4/2020 Home Health Agency
Waiver
ONSITE WELLNESS LLC
2457 WASHINGTON AVE

BURLEY, ID 83318

#13D2108272
(616) 309-2762 2/1/2020 Mobile Laboratory
Waiver
OPEN ARMS PCC AND REAL CHOICES CLINIC
1800 LINCOLN WAY #201

COEUR D'ALENE, ID 83814

#13D1058651
(208) 667-5433 9/11/2020 Other
Waiver
OPTIMAL HEALTH MEDICAL INSTITUTE
3090 E GENTRY WAY STE 200

MERIDIAN, ID 83642

#13D2035917
(208) 495-3688 1/26/2020 Physician Office
Accreditation
OPTIMUM LABWORKS
6885 BAUMAN ST

BONNERS FERRY, ID 83805

#13D2131488
(208) 920-0507 3/29/2020 Other
Waiver
ORCHARDS OF CASCADIA, THE
404 HORTON ST

NAMPA, ID 83651

#13D0521392
(208) 466-9292 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
ORION HOMECARE LLC
435 S WHITLEY DR

FRUITLAND, ID 83619

#13D1092940
(208) 452-4972 12/7/2020 Home Health Agency
PPM
OROFINO HEALTH CENTER LAB
1055 RIVERSIDE AVE

OROFINO, ID 83544

#13D2096372
(208) 476-8035 5/20/2021 Community Clinic
Waiver
ORTHOPEDIC HEALTH CARE CLINIC
3875 E OVERLAND RD

MERIDIAN, ID 83642

#13D1041322
(208) 287-1110 5/30/2021 Physician Office
PPM
OSBURN FAMILY MEDICINE
801 E MULLAN AVE

OSBURN, ID 83849

#13D0966535
(208) 556-4803 10/18/2021 Physician Office
Waiver
OSTER MEDICAL GROUP
403 S 11TH ST #310

BOISE, ID 83702

#13D2001317
(208) 344-2928 12/15/2021 Physician Office
Waiver
OWYHEE HEALTH & REHABILITATION CENTER
108 W OWYHEE ST

HOMEDALE, ID 83628

#13D0646319
(208) 337-3168 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
PACIFIC CATARACT & LASER INST-BOISE
2822 S VISTA AVE

BOISE, ID 83705

#13D0880569
(208) 385-7576 12/15/2021 Physician Office
Waiver
PACIFIC CATARACT & LASER INSTITUTE
3330 4TH ST

LEWISTON, ID 83501

#13D1083129
(208) 746-2025 4/27/2020 Ambulatory Surgery Center
PPM
PAGE FAMILY MEDICINE
1252 BENNETT AVE STE B

BURLEY, ID 83318

#13D2137608
(208) 647-0656 9/28/2021 Physician Office
Waiver
PAIN & SPINE SPECIALIST OF IDAHO
1425 PARKWAY DR

BLACKFOOT, ID 83221

#13D2164287
(208) 785-7246 4/1/2021 Community Clinic
Waiver
PAIN & SPINE SPECIALIST OF IDAHO
1950 E CLARK ST STE 110

POCATELLO, ID 83201

#13D2164290
(208) 232-7246 4/1/2021 Community Clinic
Waiver
PAIN & SPINE SPECIALIST OF IDAHO
380 WALKER DR STE 100

REXBURG, ID 83440

#13D2164292
(208) 542-7246 4/1/2021 Community Clinic
Waiver
PAIN AND SPINE SPECIALISTS OF IDAHO
3385 POTOMAC WAY

IDAHO FALLS, ID 83404

#13D2023032
(208) 522-7246 4/13/2021 Physician Office
Waiver
PAIN CARE BOISE
301 W MYRTLE STREET

BOISE, ID 83702

#13D2023152
(208) 342-8200 4/17/2021 Physician Office
Waiver
PAIN MANAGEMENT OF NORTH IDAHO
1686 W RIVERSTONE DR

COEUR D'ALENE, ID 83814

#13D2017382
(208) 765-4807 12/9/2020 Physician Office
PPM
PALOUSE CARE NETWORK
1515 WEST A STREET

MOSCOW, ID 83843

#13D1056289
(208) 882-2370 1/23/2020 Other
Waiver
PALOUSE DIALYSIS
723 S MAIN ST

MOSCOW, ID 83843

#13D1101985
(208) 882-1817 7/8/2021 Blood Bank
Waiver
PALOUSE HILLS AL
1401 N POLK

MOSCOW, ID 83843

#13D2171948
(208) 882-3438 9/10/2021 Assisted Living Facility
Waiver
PALOUSE PEDIATRICS
1420 S BLAINE ST #5

MOSCOW, ID 83843

#13D2033642
(208) 882-2247 12/6/2021 Physician Office
Waiver
PALOUSE SURGEONS
2301 WEST A ST STE A

MOSCOW, ID 83843

#13D2052900
(208) 882-1700 1/21/2021 Physician Office
Waiver
PALOUSE SURGERY CENTER
2300 WEST A ST

MOSCOW, ID 83843

#13D1021859
(208) 883-1500 2/2/2020 Ambulatory Surgery Center
PPM
PALOUSE UROLOGY PLLC
700 S MAIN ST

MOSCOW, ID 83843

#13D2128745
(509) 332-3488 4/4/2021 Physician Office
PPM
PANHANDLE HEALTH DISTRICT 1
8500 NORTH ATLAS ROAD

HAYDEN, ID 83835

#13D0522139
(208) 415-5100 6/11/2021 Public Health Laboratory
Waiver
PARKE VIEW REHABILITATION & CARE CENTER
2303 PARKE AVE

BURLEY, ID 83318

#13D0914303
(208) 677-3073 4/24/2020 Skilled Nursing Facility/Nursing Facility
Waiver
PARKWAY SURGERY CENTER
1485 PARKWAY DR

BLACKFOOT, ID 83221

#13D1014434
(208) 785-5100 7/6/2021 Ambulatory Surgery Center
Accreditation
PATHOLOGISTS REGIONAL LABORATORY
415 6TH ST

LEWISTON, ID 83501

#13D0646309
(208) 746-0516 2/27/2021 Hospital
Accreditation
PATHOLOGISTS' REGIONAL LABORATORY
2841 JUNIPER DR STE 1

LEWISTON, ID 83501

#13D2156835
(509) 758-5576 6/27/2021 Independent
Accreditation
PATHOLOGISTS' REGIONAL LABORATORY III
1250 IDAHO ST

LEWISTON, ID 83501

#13D1057607
(208) 746-0516 5/14/2020 Independent
Waiver
PAYETTE CARE & REHAB CENTER
1019 3RD AVE S

PAYETTE, ID 83661

#13D0898349
(208) 642-4455 2/27/2021 Skilled Nursing Facility/Nursing Facility
Waiver
PAYETTE COUNTY PARAMEDICS
200 S WHITLEY DR

FRUITLAND, ID 83619

#13D1011533
(208) 452-7911 4/13/2021 Ambulance
Waiver
PCS ENDOSCOPY SUITE
110 VISTA DR

POCATELLO, ID 83201

#13D1026192
(208) 234-0024 5/27/2020 Ambulatory Surgery Center
Waiver
PEAK RECOVERY LLC
2922 E CLEVELAND BLVD ST 500

CALDWELL, ID 83605

#13D2130713
(208) 455-1788 5/15/2021 Comp Outpatient Rehab Facility
Waiver
PEARL HEALTH CLINIC
2705 E 17TH ST

AMMON, ID 83406

#13D2020492
(208) 346-7500 2/21/2021 Physician Office
Waiver
PEARL PRIMARY CARE PLLC
2705 E 17TH ST STE B

AMMON, ID 83406

#13D2161324
(208) 497-0566 1/30/2021 Physician Office
Compliance
PEDIATRIC CENTER
3430 WASHINGTON PKWY

IDAHO FALLS, ID 83404

#13D0520814
(208) 523-3060 11/10/2021 Physician Office
Waiver
PEINE OSTEOPATHIC MEDICINE, PLLC
507 S FITNESS PL #110

EAGLE, ID 83616

#13D1089671
(208) 947-0925 9/23/2020 Physician Office
PPM
PEND OREILLE HEALTH CARE
1207 MICHIGAN ST #C

SANDPOINT, ID 83864

#13D1096026
(208) 265-2221 2/23/2021 Other Practitioner
Waiver
PEND OREILLE SURGERY CENTER
30544 HWY 200 #201

PONDERAY, ID 83852

#13D1086286
(208) 265-8194 7/8/2020 Ambulatory Surgery Center
Waiver
PHS MD #2 LLC
1151 # A HOSPITAL WAY

POCATELLO, ID 83201

#13D0520280
(208) 232-6616 10/28/2020 Physician Office
Accreditation
PHYSICIANS & SURGEONS CLINIC OF POCATELLO
1151 HOSPITAL WAY #100

POCATELLO, ID 83201

#13D1084701
(208) 239-8010 1/5/2021 Rural Health Clinic
Waiver
PHYSICIANS & SURGEONS CLINIC OF SHELLEY
275 W LOCUST ST

SHELLEY, ID 83274

#13D1076383
(208) 782-2960 12/25/2020 Community Clinic
Compliance
PHYSICIANS IMMEDIATE CARE CENTER
134 W CHUBBUCK RD

CHUBBUCK, ID 83202

#13D1096966
(208) 237-7911 5/25/2020 Physician Office
Compliance
PHYSICIANS IMMEDIATE CARE CENTER
495 YELLOWSTONE AVE

POCATELLO, ID 83201

#13D0520354
(208) 478-7422 4/27/2021 Physician Office
PPM
PHYSICIANS IMMEDIATE CARE CENTER
243 CHENEY DR WEST STE 200

TWIN FALLS, ID 83301

#13D0914355
(208) 736-7422 6/10/2020 Physician Office
Waiver
PHYSICIANS PRIMARY CARE CENTER
400 E 7TH ST

WEISER, ID 83672

#13D0930896
(208) 414-8440 6/23/2020 Physician Office
Waiver
PIONEER FAMILY MEDICINE
13150 W PERSIMMON LN

BOISE, ID 83713

#13D1003406
(208) 938-3663 11/1/2020 Physician Office
PPM
PIONEER MEDICAL CLINIC
COMMUNITY CENTER BUILDING
105 CARLE ST
PIERCE, ID 83546

#13D0521187
(208) 464-2578 5/13/2021 Other
Compliance
PLANNED PARENTHOOD OF THE GREAT NORTHWEST
3668 N HARBOR LANE

BOISE, ID 83704

#13D0521826
(206) 290-8012 8/20/2020 Community Clinic
Waiver
PLANTATION PLACE SENIOR LIVING
3921 KESSINGER LN

BOISE, ID 83703

#13D2026018
(208) 853-7300 6/21/2021 Assisted Living Facility
Waiver
PLEASANT VIEW SURGERY CENTER
4171 W EXPO PKWY

POST FALLS, ID 83854

#13D2047069
(208) 582-3793 9/17/2020 Ambulatory Surgery Center
Waiver
PMR HEALTHCARE-BOISE
2033 E SUMMERSWEET

BOISE, ID 83706

#13D2169100
(314) 845-5974 7/15/2021 Physician Office
PPM
POCATELLO ALLERGY & ASTHMA CLINIC
500 S 11TH AVE #202

POCATELLO, ID 83201

#13D0520358
(208) 233-0801 2/28/2021 Physician Office
Waiver
POCATELLO CARDIOLOGY ASSOCIATES
777 HOSPITAL WAY, SMOB #101

POCATELLO, ID 83201

#13D0520360
(208) 234-2001 8/2/2020 Physician Office
Compliance
POCATELLO CHILDREN & ADOLESCENT CLINIC
1151 HOSPITAL WAY BLDG F

POCATELLO, ID 83201

#13D0520357
(208) 236-9633 8/7/2020 Physician Office
Waiver
POCATELLO MEDICAL PARTNERS
444 HOSPITAL WAY #600

POCATELLO, ID 83201

#13D1038653
(208) 478-5600 3/23/2021 End Stage Renal Disease Facility
PPM
POCATELLO WOMENS CORRECTIONAL CENTER
1451 FORE RD

POCATELLO, ID 83204

#13D0932479
(208) 234-9124 8/20/2021 Other
PPM
POCATELLO WOMENS HEALTH CLINIC
777 HOSPITAL WAY #300

POCATELLO, ID 83201

#13D0934339
(208) 232-6100 10/2/2021 Physician Office
Waiver
POMERELLE PLACE
1301 BENNETT AVE

BURLEY, ID 83318

#13D2057725
(208) 677-8212 4/22/2021 Assisted Living Facility
Waiver
PORTNEUF ASC LLC DBA PORTNEUF ENDOSCOPY CENTER
1151 #A HOSPITAL WAY

POCATELLO, ID 83201

#13D0982472
(208) 232-6616 1/25/2021 Ambulatory Surgery Center
Waiver
PORTNEUF DIABETES EDUCATION
777 HOSPITAL WAY

POCATELLO, ID 83201

#13D1061847
(208) 239-2070 11/28/2020 Other Practitioner
Accreditation
PORTNEUF MEDICAL CENTER
777 HOSPITAL WAY

POCATELLO, ID 83201

#13D0520361
(208) 239-1671 1/2/2021 Hospital
Waiver
PORTNEUF MEDICAL GROUP
777 HOSPITAL WAY STE G15

POCATELLO, ID 83201

#13D2130782
(208) 239-2722 5/16/2021 Other
PPM
PORTNEUF PRIMARY CARE CLINIC
500 S 11TH AVE #303

POCATELLO, ID 83201

#13D2068469
(208) 239-3815 11/4/2021 Physician Office
Waiver
PORTNEUF SPECIALTY CLINIC - BURLEY
1501 HILAND AVE #B

BURLEY, ID 83318

#13D2072460
(208) 678-2106 1/29/2020 Physician Office
PPM
PORTNEUF UROLOGY SPECIALISTS
777 HOSPITAL WAY
SOUTH MEDICAL OFFICE #215
POCATELLO, ID 83201

#13D2044972
(208) 239-2770 8/2/2020 Physician Office
Waiver
PORTNEUF WORKMED
500 S 11TH AVE #500

POCATELLO, ID 83201

#13D0890873
(208) 239-1940 2/16/2020 Other
Waiver
POST FALLS ASC
602 N CALGARY COURT #203

POST FALLS, ID 83854

#13D2007835
(509) 777-9331 5/26/2020 Ambulatory Surgery Center
Waiver
POST FALLS DIALYSIS
1300 E MULLAN AVE #1200

POST FALLS, ID 83854

#13D1042785
(208) 777-6054 7/7/2021 End Stage Renal Disease Facility
PPM
POST FALLS FAMILY MEDICINE
1220 E POLSTON AVE

POST FALLS, ID 83854

#13D0522323
(208) 773-1577 8/31/2020 Physician Office
Waiver
POST FALLS OPTOMETRIC PHYSICIANS
185 W 4TH AVE #A

POST FALLS, ID 83854

#13D2080357
(208) 773-7434 7/2/2020 Other
Waiver
POSTIVE CONNECTIONS LLC
1373 FILLMORE ST

TWIN FALLS, ID 83301

#13D2039225
(208) 737-9999 4/3/2020 Other Practitioner
Waiver
POTLATCH FAMILY CARE
156 6TH ST

POTLATCH, ID 83855

#13D0917175
(208) 845-2380 4/1/2021 Community Clinic
PPM
POWER COUNTY FAMILY CLINIC
502 TYHEE AVE

AMERICAN FALLS, ID 83211

#13D0987656
(208) 226-1057 4/10/2021 Physician Office
Compliance
POWER COUNTY HOSPITAL DISTRICT
510 ROOSEVELT ST

AMERICAN FALLS, ID 83211

#13D0520406
(208) 226-3200 3/11/2021 Hospital
PPM
PRAIRIE FAMILY MEDICINE PLLC
1130 W PRAIRIE AVE

COEUR D'ALENE, ID 83814

#13D1073329
(208) 209-0288 8/31/2020 Physician Office
Waiver
PRECISION SURGERY CENTER PLLC
900 N LIBERTY ST STE 300

BOISE, ID 83704

#13D2165080
(208) 991-5293 4/17/2021 Ambulatory Surgery Center
Waiver
PREMIER SURGICAL CENTER
5680 W GAGE ST

BOISE, ID 83706

#13D1089437
(208) 377-3937 9/16/2020 Ambulatory Surgery Center
Waiver
PRESCRIPTION CENTER
2252 CORONADO ST

IDAHO FALLS, ID 83404

#13D0946066
(208) 523-3360 5/17/2020 Pharmacy
Waiver
PRESCRIPTION CENTER HOMECARE
2250 CORONADO ST

IDAHO FALLS, ID 83404

#13D1013427
(208) 528-7979 6/9/2021 Other
Waiver
PRESTIGE ASSISTED LIVING AT AUTUMN WIND
200 W BEECH ST

CALDWELL, ID 83605

#13D2008654
(208) 459-3335 6/14/2020 Assisted Living Facility
Waiver
PRESTIGE CARE & REHAB - THE ORCHARDS
1014 BURRELL AVE

LEWISTON, ID 83501

#13D0521118
(208) 743-4558 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
PREVENTATIVE HEALTH LLC
531 S FITNESS PL STE 100

EAGLE, ID 83616

#13D2040487
(208) 853-2273 6/6/2020 Mobile Laboratory
PPM
PRIMARY HEALTH MEDICAL GROUP - WEST BOISE
11197 W FAIRVIEW AVE

BOISE, ID 83713

#13D0914300
(208) 378-8011 9/8/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - CALDWELL
4815 CLEVELAND BLVD

CALDWELL, ID 83605

#13D0910691
(208) 455-3545 9/8/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - CHINDEN & LINDER
1900 W CHINDEN BLVD

MERIDIAN, ID 83646

#13D2109226
(208) 809-2860 2/21/2020 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - DOWNTOWN
300 W MYRTLE ST #100

BOISE, ID 83702

#13D2043748
(208) 472-9082 7/9/2020 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - EAGLE
435 S EAGLE RD #100

EAGLE, ID 83616

#13D0878389
(208) 939-8200 9/8/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - MERIDIAN
1648 NW 1ST STREET

MERIDIAN, ID 83642

#13D0861110
(208) 888-9393 9/8/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - NAMPA
700 CALDWELL BLVD

NAMPA, ID 83651

#13D0692578
(208) 466-6567 9/8/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - ORCHARD
4971 W OVERLAND RD

BOISE, ID 83705

#13D2102904
(208) 472-5050 9/30/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - OVERLAND
8971 W OVERLAND RD

BOISE, ID 83709

#13D0521990
(208) 378-4288 9/8/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - SOUTH MERIDIAN
1623 S WELLS AVE

MERIDIAN, ID 83642

#13D2075115
(208) 489-1450 3/23/2020 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - SOUTH NAMPA
1115 12TH AVENUE RD

NAMPA, ID 83686

#13D2061878
(208) 498-1080 7/7/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP - STATE STREET
6052 W STATE ST

BOISE, ID 83703

#13D0662452
(208) 344-7799 9/15/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP-CROSSROADS/PEDIATRICS
3280 E LANARK DR

MERIDIAN, ID 83642

#13D0922902
(208) 895-8670 8/17/2020 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP-GARDEN CITY
5601 W CHINDEN BLVD

BOISE, ID 83714

#13D2112996
(208) 809-2865 5/12/2020 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP-GARRITY
1375 N HAPPY VALLEY RD

NAMPA, ID 83687

#13D2142516
(208) 809-2869 1/10/2020 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP-NORTH CALDWELL
512 N 21ST AVE

CALDWELL, ID 83605

#13D2163514
(208) 985-2875 3/14/2021 Physician Office
PPM
PRIMARY HEALTH MEDICAL GROUP-TEN MILE
260 SOUTH TEN MILE

MERIDIAN, ID 83642

#13D2145307
(208) 809-2872 3/5/2020 Physician Office
Waiver
PROGRESSIVE NURSING SERVICES, INC
1514 SHOSHONE ST

BOISE, ID 83705

#13D0885725
(208) 336-9898 4/28/2020 Home Health Agency
Waiver
PROMONTORY POINT REHABILITATION
3909 S 25TH E

AMMON, ID 83406

#13D2006945
(208) 528-4000 5/4/2020 Skilled Nursing Facility/Nursing Facility
Waiver
QUEST DIAGNOSTICS
2001 S WOODRUFF AVE #7

IDAHO FALLS, ID 83404

#13D2076873
(208) 522-4826 4/28/2020 Independent
Registration
QUEST DIAGNOSTICS-NAMPA
215 E HAWAII AVE STE B-100

NAMPA, ID 83686

#13D2168610
(208) 466-6484 7/2/2021 Independent
Waiver
QUINN MEADOWS REHAB AND CARE CENTER
1033 W QUINN ROAD

POCATELLO, ID 83202

#13D1096462
(208) 637-8888 3/4/2021 Skilled Nursing Facility/Nursing Facility
Waiver
R AND R PHARMACY
133 WEST AVE A

JEROME, ID 83338

#13D0958067
(208) 324-3784 3/9/2021 Independent
Waiver
RAINBOW'S END RECOVERY CENTER
25341 HIGHWAY 93

CHALLIS, ID 83226

#13D2099994
(208) 879-2267 8/4/2021 Other
Compliance
RAISE THE BOTTOM
9196 W BARNES ST

BOISE, ID 83709

#13D2047419
(208) 433-0400 2/16/2020 Industrial
Waiver
RAISE THE BOTTOM ADDICTION TREATMENT-NAMPA
1603 12TH AVE RD UNIT B

NAMPA, ID 83686

#13D2141086
(208) 443-0400 12/6/2021 Other
Waiver
RECOVERY 4 LIFE
8950 W EMERALD ST #178

BOISE, ID 83704

#13D1095117
(208) 376-7083 2/2/2021 Comp Outpatient Rehab Facility
Waiver
RECOVERY REFUGE COUNSELING CENTER LLC
8100 W EMERALD STE 180

BOISE, ID 83704

#13D2167739
(208) 859-6262 6/12/2021 Physician Office
Compliance
REED I WARD, DO, PA
3425 POTOMAC WAY

IDAHO FALLS, ID 83404

#13D1002130
(208) 528-8170 4/11/2020 Physician Office
Waiver
REGENCY COLUMBIA VILLAGE ASSISTED LIVING FACILITY
3529 E LAKE FOREST DR

BOISE, ID 83716

#13D2111432
(208) 344-2954 4/5/2020 Assisted Living Facility
Waiver
REHABILITATION HOSPITAL OF THE NORTHWEST
3372 E JENALAN AVE

POST FALLS, ID 83854

#13D2067626
(208) 262-8700 6/30/2021 Other
Compliance
REHABILITATIVE HEALTH SERVICES MEDICAL CLINIC
1675 CURLEW DR

AMMON, ID 83406

#13D2032859
(208) 523-5319 11/1/2020 Physician Office
Waiver
RELIANCE CENTER
102 NEW 6TH ST

LEWISTON, ID 83501

#13D2150474
(208) 598-4575 6/25/2020 Community Clinic
Waiver
RELIANT HEALTHCARE
1103 E BEST AVE STE 3

COEUR D'ALENE, ID 83814

#13D2113005
(208) 665-3514 5/12/2020 Home Health Agency
Waiver
RENAISSANCE RANCH
1020 LANDBANK ST #B

IDAHO FALLS, ID 83401

#13D2046437
(208) 501-2208 2/7/2020 Other
Waiver
RENEWED HOPE COUNSELING & WELLNESS
1550 N CRESTMONT DR #A

MERIDIAN, ID 83642

#13D2090195
(208) 288-4200 1/15/2021 Other
Waiver
RESTORED HORIZONS
14775 N KIMO CT STE 3

RATHDRUM, ID 83858

#13D1012743
(208) 387-5627 5/19/2021 Physician Office
Waiver
RESTORED HORIZONS PAIN MANAGEMENT
913 W CANFIELD AVE

COEUR D ALENE, ID 83815

#13D2167774
(208) 819-7103 6/13/2021 Physician Office
Accreditation
REXBURG 2 BIOMAT PLASMAPHERESIS CENTER
175 WEST 2ND SOUTH STE 102

REXBURG, ID 83440

#13D2149953
(919) 316-2389 3/12/2021 Other
Compliance
REXBURG COMMUNITY CARE
72 E MAIN ST

REXBURG, ID 83440

#13D0962844
(208) 359-1770 10/25/2021 Community Clinic
Waiver
REXBURG FREE CLINIC
60 WEST MAIN

REXBURG, ID 83440

#13D2167036
(208) 313-3934 5/30/2021 Community Clinic
Waiver
REXBURG HOME HEALTH & HOSPICE
280 E MAIN ST

REXBURG, ID 83440

#13D0974898
(208) 356-6688 6/19/2020 Home Health Agency
Compliance
REXBURG MEDICAL CENTER
393 E 2ND NORTH

REXBURG, ID 83440

#13D0521010
(208) 356-5401 8/10/2021 Physician Office
Waiver
REXBURG VISION CENTER
49 E 1ST S

REXBURG, ID 83440

#13D2026680
(208) 356-4444 10/31/2021 Physician Office
Waiver
RIDLEY'S PHARMACY #7152
911 N MAIN ST

POCATELLO, ID 83204

#13D2019665
(208) 478-8510 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #7153
1295 PARKWAY BLVD

BLACKFOOT, ID 83221

#13D2019638
(208) 785-1311 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #7156
1000 POCATELLO CREEK RD

POCATELLO, ID 83201

#13D2076333
(208) 233-4051 4/15/2020 Pharmacy
Waiver
RIDLEY'S PHARMACY #8442
403 E MAIN

MIDDLETON, ID 83644

#13D2019663
(208) 585-2900 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8443
1016 S LINCOLN AVE

JEROME, ID 83338

#13D2019655
(208) 324-2411 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8444
604 E 3RD ST

WEISER, ID 83672

#13D2019739
(208) 549-0172 2/3/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8445
1427 MAIN ST

GOODING, ID 83330

#13D2019640
(208) 934-4709 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8446
705 E HIGHWAY 30

BUHL, ID 83316

#13D2019639
(208) 543-9944 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8447
310 ONEIDA ST

RUPERT, ID 83350

#13D2019667
(208) 436-1200 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8448
1403 N MERIDIAN RD

KUNA, ID 83634

#13D2076339
(208) 922-9566 4/15/2020 Pharmacy
Waiver
RIDLEY'S PHARMACY #8463
411 DEINHARD LANE

MCCALL, ID 83638

#13D2019661
(208) 634-8719 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY #8464
210 MAIN ST S

KIMBERLY, ID 83341

#13D2019659
(208) 423-4248 2/2/2021 Pharmacy
Waiver
RIDLEY'S PHARMACY CORPORATE OFFICE
621 WASHINGTON ST SO

TWIN FALLS, ID 83301

#13D2019736
(801) 358-3365 2/3/2021 Industrial
Waiver
RIDLEY'S STAR PHARMACY #8440
9732 W STATE ST

STAR, ID 83669

#13D2019732
(208) 286-0906 2/24/2021 Pharmacy
Compliance
RIGBY COMMUNITY CARE
167 E 1ST S

RIGBY, ID 83442

#13D0665962
(208) 745-8747 12/11/2020 Community Clinic
Waiver
RINDFLEISCH FAMILY PRACTICE
3155 CHANNING WAY STE A

IDAHO FALLS, ID 83404

#13D2124544
(208) 522-6044 1/18/2021 Physician Office
Waiver
RITE AID PHARMACY #5408
1904 19TH AVENUE

LEWISTON, ID 83501

#13D2126011
(208) 743-9127 2/16/2021 Pharmacy
Waiver
RITE AID PHARMACY #5409
2809 E CLEVELAND BLVD

CALDWELL, ID 83605

#13D2092096
(208) 455-1094 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5410
451 DEINHARD LANE

MCCALL, ID 83638

#13D2126014
(208) 634-4929 2/16/2021 Pharmacy
Waiver
RITE AID PHARMACY #5412
1600 N MAIN ST

MERIDIAN, ID 83642

#13D2092095
(208) 888-7311 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5413
1515 W STATE ST

BOISE, ID 83702

#13D2092088
(208) 345-7684 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5414
7020 W STATE ST

BOISE, ID 83714

#13D2092091
(208) 853-3503 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5415
10600 FAIRVIEW AVE

BOISE, ID 83713

#13D2092094
(208) 322-0962 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5417
5005 W OVERLAND RD

BOISE, ID 83705

#13D2092086
(208) 389-1448 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5418
1100 VISTA AVE

BOISE, ID 83705

#13D2092085
(208) 344-2529 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5419
660 E BOISE AVE

BOISE, ID 83706

#13D2092083
(208) 336-8340 2/25/2021 Pharmacy
Waiver
RITE AID PHARMACY #5420
208 WEST IRONWOOD DR

COEUR D'ALENE, ID 83814

#13D2149920
(208) 664-3185 6/12/2020 Pharmacy
Waiver
RITE AID PHARMACY #5421
1810 W PULLMAN RD

MOSCOW, ID 83843

#13D2126015
(208) 882-3583 2/16/2021 Pharmacy
Waiver
RITE AID PHARMACY #6200
43 WEST PRAIRIE SHOPPING CENTER

HAYDEN, ID 83835

#13D2149922
(208) 772-2774 6/12/2020 Pharmacy
Waiver
RITE AID PHARMACY #6779
3250 S EAGLE RD

MERIDIAN, ID 83642

#13D2126016
(208) 898-2543 2/16/2021 Pharmacy
Waiver
RIVER CITY SURGICAL CENTER
10118 W OVERLAND RD

BOISE, ID 83709

#13D2112987
(208) 384-9022 5/11/2020 Ambulatory Surgery Center
Waiver
RIVER VIEW SURGERY CENTER LLC
1502 LOCUST ST NORTH STE 100

TWIN FALLS, ID 83301

#13D2126499
(208) 410-2071 2/27/2021 Ambulatory Surgery Center
Waiver
RIVER'S EDGE REHABILITATION & LIVING CENTER
714 N BUTTE AVE

EMMETT, ID 83617

#13D0521269
(208) 365-4425 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
RIVERVIEW REHABILITATION
3550 W AMERICANA TERRACE

BOISE, ID 83706

#13D2047070
(208) 615-4940 9/17/2020 Skilled Nursing Facility/Nursing Facility
Waiver
RIVERVIEW URGENT CARE AND MEDICAL CENTER
382 N OVERLAND AVE

BURLEY, ID 83318

#13D2044571
(208) 678-6996 10/5/2020 Physician Office
Accreditation
RM LAB DBA EXPRESS LAB
444 HOSPITAL WAY, BLDG 2 #611

POCATELLO, ID 83201

#13D2091838
(208) 529-8330 7/29/2021 Independent
Accreditation
RM LAB DBA EXPRESS LAB
101 E MAIN ST

REXBURG, ID 83440

#13D2136887
(208) 529-8330 7/29/2021 Independent
Accreditation
RM LAB DBA EXPRESS LAB
2001 S WOODRUFF AVE STE 15B

IDAHO FALLS, ID 83404

#13D2153992
(208) 529-8330 7/29/2021 Independent
Accreditation
RM LAB LLC DBA EXPRESS LAB
3910 WASHINGTON PKWY #B

IDAHO FALLS, ID 83404

#13D0520868
(208) 529-8330 12/22/2021 Physician Office
Waiver
ROBERT RUST MD
1301 N DIVISION ST

SANDPOINT, ID 83864

#13D2031196
(208) 265-0610 10/13/2021 Physician Office
Waiver
ROBERT W HALL MD
180 W 1ST ST #302

KETCHUM, ID 83340

#13D0939872
(208) 726-5996 2/1/2020 Physician Office
Waiver
ROCKY MOUNTAIN SURGERY CENTER
333 N 18TH AVE #C

POCATELLO, ID 83201

#13D2039395
(208) 239-3900 4/8/2020 Ambulatory Surgery Center
Compliance
ROGER H TALL MD
2001 S WOODRUFF AVE #8

IDAHO FALLS, ID 83404

#13D0520888
(208) 529-0633 10/9/2021 Physician Office
Compliance
ROSEMARK WOMEN CARE SPECIALISTS
3450 POTOMAC WAY

IDAHO FALLS, ID 83404

#13D0895831
(208) 557-2900 8/29/2021 Physician Office
Compliance
ROSEMARK WOMEN CARE SPECIALISTS
808 PANCHERI DR

IDAHO FALLS, ID 83404

#13D1048734
(208) 557-2900 10/22/2020 Physician Office
Waiver
ROYAL PLAZA HEALTH AND REHABILITATION
2870 JUNIPER DR

LEWISTON, ID 83501

#13D0887185
(208) 746-2800 6/6/2020 Skilled Nursing Facility/Nursing Facility
PPM
RUPERT MEDICAL CENTER
1218 9TH ST#7

RUPERT, ID 83350

#13D0958686
(208) 436-3161 3/23/2021 Physician Office
Waiver
SAFEWAY PHARMACY #0350
702 N 5TH AVE

SANDPOINT, ID 83864

#13D2082233
(208) 263-8923 8/10/2020 Pharmacy
Waiver
SAFEWAY PHARMACY #0383
1320 S BLAINE ST

MOSCOW, ID 83843

#13D2011157
(208) 882-2663 8/11/2020 Pharmacy
Waiver
SAFEWAY PHARMACY #1470
121 NEIDER AVE

COEUR D ALENE, ID 83815

#13D2082229
(208) 765-4410 8/10/2020 Pharmacy
Waiver
SAFEWAY PHARMACY #2954
6519 MAIN ST

BONNERS FERRY, ID 83805

#13D2082238
(208) 867-2301 8/10/2020 Pharmacy
Waiver
SAFEWAY PHARMACY #3295
1001 N 4TH ST

COEUR D'ALENE, ID 83814

#13D2082240
(208) 667-3860 8/10/2020 Pharmacy
Waiver
SAGE DIAGNOSTICS & IMAGING LLC
3875 E OVERLAND RD STE B

MERIDIAN, ID 83642

#13D2172956
(208) 287-6592 10/1/2021 Physician Office
Waiver
SAINT ALPHONSUS COMMUNITY SAFE
417 S 6TH ST

BOISE, ID 83702

#13D1095664
(208) 577-4423 2/12/2021 Skilled Nursing Facility/Nursing Facility
Accreditation
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1510 12TH AVE RD STE 100

NAMPA, ID 83686

#13D2135535
(208) 205-0700 6/12/2020 Hospital
Waiver
SAINT ALPHONSUS MEDICAL GROUP WOMEN'S SPECIALTY
900 N LIBERTY STE 101

BOISE, ID 83704

#13D2130849
(208) 302-2200 5/17/2021 Physician Office
PPM
SAINT ALPHONSUS MEDICAL GROUP-COPPERPOINT
3401 W COPPER POINT

MERIDIAN, ID 83642

#13D2124553
(208) 302-5700 1/18/2021 Physician Office
PPM
SAINT ALPHONSUS MEDICAL GROUP-STAR
10717 W STATE STREET

STAR, ID 83669

#13D2119168
(208) 302-6300 9/20/2020 Physician Office
Waiver
SAINT ANTHONY WORK CAMP
125 N 8TH W

SAINT ANTHONY, ID 83445

#13D1005993
(208) 624-3775 11/4/2020 Ambulance
PPM
SALMON RIVER CLINIC
1 NIECE AVE

STANLEY, ID 83278

#13D0646284
(208) 774-3565 8/18/2021 Community Clinic
Waiver
SALMON VALLEY HOSPICE
404 COURTHOUSE DR

SALMON, ID 83467

#13D2090834
(208) 756-6122 2/1/2021 Hospice
Waiver
SALTZER MEDICAL GROUP
215 E HAWAII AVE

NAMPA, ID 83686

#13D2114533
(208) 463-3271 4/24/2021 Physician Office
Waiver
SALTZER MEDICAL GROUP
3277 E LOUISE DR STE 200

MERIDIAN, ID 83642

#13D2112337
(208) 884-2920 4/26/2020 Physician Office
Waiver
SALTZER MEDICAL GROUP - VENTANA
9850 W ST LUKE'S DR #129

NAMPA, ID 83687

#13D0955515
(208) 288-4980 3/31/2020 Other
Waiver
SALTZER MEDICAL GROUP PA (RESEARCH)
215 E HAWAII AVE

NAMPA, ID 83686

#13D2071633
(208) 463-3215 1/15/2020 Physician Office
Waiver
SAM'S CLUB PHARMACY 10-6345
700 E 17TH ST

IDAHO FALLS, ID 83404

#13D2130030
(208) 523-0831 4/30/2021 Pharmacy
Waiver
SAMG - DIABETES CARE & EDUCATION CENTER
3250 W CHERRY LN

MERIDIAN, ID 83642

#13D2062469
(208) 367-6127 7/16/2021 Community Clinic
PPM
SAMG - FRUITLAND HEALTH PLAZA
910 NW 16TH ST #101

FRUITLAND, ID 83619

#13D0929395
(208) 452-6504 9/21/2020 Community Clinic
PPM
SAMG - GARRITY CAMPUS CLINIC
1150 N SISTER CATHERINE WAY

NAMPA, ID 83687

#13D1072882
(208) 465-6970 12/11/2021 Physician Office
PPM
SAMG - MATERNAL FETAL MEDICINE
900 N LIBERTY ST #206

BOISE, ID 83706

#13D1046355
(208) 367-5544 11/5/2020 Physician Office
Waiver
SAMG CARDIOTHORACIC CLINIC
6140 W CURTISIAN AVE STE 102

BOISE, ID 83704

#13D2138249
(208) 302-2800 10/11/2021 Physician Office
Waiver
SAMG DIABETES CARE & EDUCATION CENTER
1000 N CURTIS RD #305

BOISE, ID 83706

#13D2062467
(208) 367-6130 7/16/2021 Community Clinic
Waiver
SAMG HEART CARE
6140 W CURTISIAN AVE #200

BOISE, ID 83704

#13D1081082
(208) 367-4278 3/9/2020 Physician Office
Waiver
SAMG MATERNAL FETAL MEDICINE-NAMPA
4424 E FLAMINGO AVE STE 220

NAMPA, ID 83686

#13D2114169
(208) 367-5544 6/7/2020 Physician Office
PPM
SAMG NAMPA OB/GYN
4424 E FLAMINGO RD #200

NAMPA, ID 83687

#13D0521477
(208) 288-4888 9/26/2020 Physician Office
PPM
SAMG OASIS MEDICAL CENTER
3217 W BAVARIA ST

EAGLE, ID 83616

#13D2001498
(208) 302-6200 8/25/2020 Physician Office
PPM
SANDPOINT FAMILY MEDICINE
302 S 1ST AVE

SANDPOINT, ID 83864

#13D0522395
(208) 263-5109 8/31/2020 Physician Office
PPM
SANDPOINT HEALTH CARE PLLC
1215 MICHIGAN ST STE B

SANDPOINT, ID 83864

#13D2154264
(208) 946-1730 9/9/2020 Other Practitioner
Waiver
SANDPOINT PEDIATRICS - KANIKSU
420 N 2ND AVE #100

SANDPOINT, ID 83864

#13D0723974
(208) 265-2242 5/1/2020 Physician Office
Waiver
SANDPOINT SUPER DRUG
604 N 5TH AVE

SANDPOINT, ID 83864

#13D0962741
(208) 263-1408 7/12/2021 Pharmacy
Waiver
SANDPOINT SURGERY CENTER
1327 SUPERIOR ST #111

SANDPOINT, ID 83864

#13D2085426
(208) 501-8895 10/13/2020 Ambulatory Surgery Center
PPM
SANDPOINT WOMENS HEALTH
423 N 3RD AVE #210

SANDPOINT, ID 83864

#13D0522394
(208) 263-2173 8/31/2020 Physician Office
Accreditation
SARMC EAGLE HEALTH PLAZA
323 E RIVERSIDE DRIVE

EAGLE, ID 83616

#13D1072710
(208) 367-5333 4/15/2021 Ancillary Testing Site
Waiver
SAV-MOR DRUG
490 N 2 E

MOUNTAIN HOME, ID 83647

#13D2150967
(208) 587-3346 7/8/2020 Pharmacy
Waiver
SAV-ON PHARMACY #3337
700 E AVALON

KUNA, ID 83634

#13D2117172
(208) 395-3906 8/9/2020 Pharmacy
Waiver
SAV-ON PHARMACY #3339
10565 LAKE HAZEL RD

BOISE, ID 83709

#13D2117175
(208) 395-3906 8/9/2020 Pharmacy
Waiver
SAV-ON PHARMACY #3360
132 E LAKE ST

MCCALL, ID 83638

#13D2158874
(208) 634-2433 12/6/2020 Pharmacy
Waiver
SAV-ON PHARMACY #3366
20 E WYOMING AVE

HOMEDALE, ID 83628

#13D2117206
(208) 395-3906 8/9/2020 Pharmacy
Waiver
SAVEWAY MARKET PHARMACY
1200 SHOUP ST

SALMON, ID 83467

#13D2095588
(208) 756-2822 5/6/2021 Pharmacy
Waiver
SAWTOOTH SURGERY CENTER
115 FALLS AVE W

TWIN FALLS, ID 83301

#13D1091347
(208) 733-1662 10/29/2020 Ambulance
Compliance
SCHOLES DERMATOLOGY
526 SHOUP AVE W #A

TWIN FALLS, ID 83301

#13D0933122
(208) 734-5555 5/13/2020 Physician Office
Waiver
SCHWEITZER ENGINEERING LABORATORIES
2821 JUNIPER DRIVE

LEWISTON, ID 83501

#13D2050912
(509) 332-1890 12/9/2020 Industrial
Compliance
SEASONS MEDICAL
37 SOUTH 2ND EAST

REXBURG, ID 83440

#13D0705352
(208) 356-0234 11/10/2021 Physician Office
Waiver
SELKIRK ENDOCRINOLOGY
1125 E POLSTON AVE STE B

POST FALLS, ID 83854

#13D2146361
(208) 758-0075 3/27/2020 Physician Office
Waiver
SEQUEL
2850 NE INDUSTRIAL WAY

MTN HOME, ID 83647

#13D2011808
(208) 587-2679 8/23/2020 Skilled Nursing Facility/Nursing Facility
Waiver
SERENITY HEALTHCARE
1134 CHENEY DR

TWIN FALLS, ID 83301

#13D2140627
(208) 252-5902 11/26/2021 Skilled Nursing Facility/Nursing Facility
Waiver
SEVEN OAKS COMMUNITY HOMES
3940 W 5TH AVE

POST FALLS, ID 83854

#13D1017517
(208) 773-8890 9/28/2021 Ambulance
Waiver
SHAVER PHARMACY & COMPOUNDING CENTER
235 S 4TH AVE

POCATELLO, ID 83201

#13D1058147
(208) 233-3341 8/29/2020 Physician Office
Waiver
SHAW MOUNTAIN OF CASCADIA
909 RESERVE ST

BOISE, ID 83712

#13D0522014
(208) 343-7717 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
SHELLEY FAMILY MEDICAL CENTER
210 S EMERSON AVE

SHELLEY, ID 83274

#13D0705400
(208) 357-7404 3/12/2021 Physician Office
Waiver
SHOSHONE BANNOCK TRIBAL HEALTH AND HUMAN SERVICES
MISSION ROAD

FORT HALL, ID 83203

#13D0860771
(208) 238-5435 2/25/2021 Other Practitioner
Accreditation
SHOSHONE FAMILY MEDICAL CENTER
113 S APPLE ST

SHOSHONE, ID 83352

#13D0520769
(208) 886-2224 12/22/2021 Physician Office
Compliance
SHOSHONE MEDICAL CENTER
25 JACOBS GULCH RD

KELLOGG, ID 83837

#13D0522232
(208) 784-1221 6/18/2021 Hospital
PPM
SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER
BLDG 70 NAVAJO DR

FORT HALL, ID 83203

#13D2100443
(208) 478-3995 6/18/2021 Federally Qualified Health Center
Waiver
SHOSHONE-BANNOCK TRIBAL CORRECTIONS
E AGENCY RD/PO BOX 870

FORT HALL, ID 83203

#13D2090836
(208) 844-0299 2/1/2021 Other
Waiver
SIGNATURE HOME HEALTH-BLACKFOOT
131 N OAK STREET

BLACKFOOT, ID 83221

#13D2123467
(435) 787-4990 12/20/2020 Home Health Agency
Waiver
SIGNATURE HOME HEALTH-CHUBBUCK
240 W BURNSIDE AVE #B

CHUBBUCK, ID 83202

#13D1088194
(208) 637-2273 8/18/2020 Home Health Agency
Waiver
SIGNATURE HOME HEALTH-PRESTON
307 1ST EAST

PRESTON, ID 83263

#13D2123476
(435) 787-4990 12/20/2020 Home Health Agency
Waiver
SIGNATURE HOSPICE & HOME HEALTH
1000 S 16TH STE C

PAYETTE, ID 83661

#13D2089518
(208) 642-9222 1/1/2021 Hospice
Waiver
SIGNATURE HOSPICE & HOME HEALTH
3904 E FLAMINGO STE 100

NAMPA, ID 83687

#13D2085607
(208) 465-7121 10/16/2020 Hospice
Waiver
SIGNATURE HOSPICE-BLACKFOOT
131 N OAK STREET

BLACKFOOT, ID 83221

#13D2123472
(435) 787-4990 12/20/2020 Hospice
Waiver
SIGNATURE HOSPICE-CHUBBUCK
240 W BURNSIDE AVE STE B

CHUBBUCK, ID 83202

#13D2123428
(435) 787-4990 12/19/2020 Hospice
Waiver
SIGNATURE HOSPICE-PRESTON
307 1ST EAST

PRESTON, ID 83263

#13D2123478
(435) 787-4990 12/20/2020 Hospice
Waiver
SILVER VALLEY FAMILY PRACTICE PC
114 MCKINLEY AVENUE

KELLOGG, ID 83837

#13D2168509
(208) 783-0300 7/1/2021 Other Practitioner
Waiver
SILVER WOOD GOOD SAMARITAN CENTER
405 W 7TH STREET

SILVERTON, ID 83867

#13D0522399
(208) 556-1147 8/31/2020 Skilled Nursing Facility/Nursing Facility
PPM
SIMPLY WOMEN'S HEALTH
219 S WOODDALE AVE

EAGLE, ID 83616

#13D2058938
(208) 994-5575 5/14/2021 Other Practitioner
PPM
SIMPSON DERMCARE & FAMILY MEDICINE
3456 EAST 17TH ST STE 190

AMMON, ID 83406

#13D2094682
(208) 524-2222 4/21/2021 Physician Office
Waiver
SINUS SURGERY CENTER IDAHO
3085 E MAGIC VIEW DR #140

MERIDIAN, ID 83642

#13D1064435
(208) 433-9300 2/5/2021 Ambulatory Surgery Center
Waiver
SKYLINE SURGERY CENTER
285 VISTA DRIVE #C

POCATELLO, ID 83201

#13D2053554
(208) 478-1704 2/3/2021 Ambulatory Surgery Center
Waiver
SMC FAMILY MEDICINE
858 COMMERCE DR

SMELTERVILLE, ID 83868

#13D2136578
(208) 784-4612 9/11/2021 Rural Health Clinic
Waiver
SMITH'S PHARMACY #121
400 S WOODRUFF AVE

IDAHO FALLS, ID 83401

#13D2010787
(208) 529-5300 8/3/2020 Pharmacy
Waiver
SMITH'S PHARMACY #123
937 E MAIN ST

BURLEY, ID 83318

#13D2010783
(208) 378-3286 8/3/2020 Pharmacy
Waiver
SMITH'S PHARMACY #35
1913 ADDISON AVE E

TWIN FALLS, ID 83301

#13D2010789
(208) 734-4581 8/3/2020 Pharmacy
Waiver
SMITH'S PHARMACY #61
4845 YELLOWSTONE AVE

CHUBBUCK, ID 83202

#13D2010785
(208) 237-3900 8/3/2020 Pharmacy
Compliance
SNAKE RIVER DERMATOLOGY
2101 N WHITNEY DR

FRUITLAND, ID 83619

#13D0688492
(208) 452-5999 12/9/2021 Physician Office
Waiver
SOLACE HEALTHCARE
197 STOCKHAM BLVD #2

RIGBY, ID 83442

#13D2015861
(208) 757-8444 11/7/2020 Hospice
Waiver
SOLARIS CLINICAL RESEARCH
1525 E LEIGH FIELD DRIVE #100

MERIDIAN, ID 83646

#13D2041526
(208) 288-0123 5/22/2020 Other
Waiver
SONORA CLINICAL RESEARCH LLC
2596 N STOKESBERRY PL #115

MERIDIAN, ID 83646

#13D2142959
(208) 861-6848 1/22/2020 Other
PPM
SOUTH BOISE WOMEN'S CORRECTIONAL
13200 S PLEASANT VALLEY RD

KUNA, ID 83634

#13D1093308
(208) 336-3187 12/15/2020 Prison
Waiver
SOUTH CENTRAL PUBLIC HEALTH DISTRICT
1020 WASHINGTON ST N

TWIN FALLS, ID 83301

#13D0687831
(208) 734-5900 12/27/2020 Other
Waiver
SOUTH IDAHO CORRECTIONAL INSTITUTE
13900 PLEASANT VALLEY ROAD

KUNA, ID 83634

#13D0925069
(208) 333-0037 2/13/2021 Other
Compliance
SOUTHEAST IDAHO FAMILY PRACTICE
2775 CHANNING WAY

IDAHO FALLS, ID 83404

#13D0869535
(208) 524-0133 12/1/2020 Physician Office
Compliance
SOUTHEAST IDAHO UROLOGY
2330 CORONADO ST

IDAHO FALLS, ID 83404

#13D0936396
(208) 522-1234 4/6/2020 Physician Office
PPM
SOUTHEASTERN IDAHO PUBLIC HEALTH
1901 ALVIN RICKEN DR

POCATELLO, ID 83201

#13D0662579
(208) 233-9080 9/5/2020 Other Practitioner
Waiver
SOUTHERN IDAHO FAMILY MEDICINE
5524 PINLAND AVE

MERIDIAN, ID 83642

#13D2172471
(208) 985-3864 9/23/2021 Other
Compliance
SOUTHERN IDAHO PAIN INSTITUTE
506 ADDISON AVENUE WEST

TWIN FALLS, ID 83301

#13D1105419
(208) 733-3181 3/13/2020 Physician Office
Waiver
SOUTHERN IDAHO SURGERY CENTER
3235 N TOWERBRIDGE WAY #100

MERIDIAN, ID 83646

#13D2106536
(208) 895-1908 12/20/2021 Ambulatory Surgery Center
Waiver
SOUTHFORK HEALTHCARE
3388 SWAN VALLEY HWY

IRWIN, ID 83428

#13D2057730
(208) 360-1997 4/22/2021 Other Practitioner
PPM
SOUTHWEST DISTRICT HEALTH
13307 MIAMI LANE

CALDWELL, ID 83606

#13D0670248
(208) 455-5300 8/14/2020 Public Health Laboratory
Compliance
SOUTHWEST IDAHO EAR NOSE AND THROAT PA
900 N LIBERTY ST #400

BOISE, ID 83704

#13D0521880
(208) 367-3320 11/14/2020 Physician Office
Waiver
SOUTHWEST IDAHO SURGERY CENTER INC
900 N LIBERTY ST STE 450

BOISE, ID 83704

#13D2117273
(208) 367-7448 8/11/2020 Ambulatory Surgery Center
Waiver
SOUTHWEST IDAHO TREATMENT CENTER
1660 11TH AVE N

NAMPA, ID 83687

#13D0670702
(208) 442-2812 8/31/2020 Intermediate Care Fac For Mentally Retarded
PPM
SPARKMD, LLC
302 W IDAHO ST

BOISE, ID 83702

#13D2084783
(208) 369-4590 12/18/2020 Independent
PPM
SPECIALIZED FAMILY MEDICINE
151 N 4TH AVE #B

POCATELLO, ID 83201

#13D2049345
(208) 269-7147 11/4/2020 Physician Office
Waiver
SPINE & PHYSICAL MEDICINE
2690 S EAGLE RD #150

MERIDIAN, ID 83642

#13D2015704
(208) 401-1000 11/1/2020 Physician Office
Waiver
SPINE INSTITUTE OF IDAHO
360 E MONTVUE DR #100

MERIDIAN, ID 83642

#13D2099311
(208) 855-2900 7/23/2021 Physician Office
Waiver
SPINE INSTITUTE OF IDAHO
1906 FAIRVIEW AVE

CALDWELL, ID 83605

#13D2099317
(208) 855-2900 7/23/2021 Physician Office
Waiver
SPINE INSTITUTE OF IDAHO PA
4424 E FLAMINGO AVE STE 230

NAMPA, ID 83687

#13D2138899
(208) 855-2900 10/25/2021 Physician Office
Compliance
ST ALPHONSUS ANTICOAGULATION CLINIC
4424 E FLAMINGO STE 300

NAMPA, ID 83687

#13D1081070
(208) 367-2121 3/11/2020 Ancillary Testing Site
Accreditation
ST ALPHONSUS CALDWELL CANCER CARE CENTER
3123 MEDICAL DR

CALDWELL, ID 83605

#13D0984539
(208) 367-4828 8/10/2021 Other Practitioner
PPM
ST ALPHONSUS CARE CLINIC
900 N LIBERTY ST #204

BOISE, ID 83706

#13D2019552
(208) 367-2126 1/31/2021 Physician Office
Compliance
ST ALPHONSUS EAGLE HEALTH PLAZA
323 E RIVERSIDE DR

EAGLE, ID 83616

#13D2142603
(208) 367-2121 8/25/2021 Pharmacy
Waiver
ST ALPHONSUS HOME HEALTH & HOSPICE
9199 W BLACK EAGLE DR

BOISE, ID 83709

#13D1058621
(208) 367-3040 9/10/2020 Home Health Agency
PPM
ST ALPHONSUS INTERNATIONAL CLINIC
6533 W EMERALD ST

BOISE, ID 83704

#13D0662356
(208) 302-5200 4/10/2021 Physician Office
Accreditation
ST ALPHONSUS MEDICAL CENTER - NAMPA
4300 E FLAMINGO AVE

NAMPA, ID 83687

#13D0646331
(208) 463-5270 2/27/2021 Hospital
Waiver
ST ALPHONSUS MEDICAL GROUP
1510 12TH AVE

NAMPA, ID 83686

#13D0521461
(208) 302-6800 9/23/2021 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP
1055 N CURTIS RD

BOISE, ID 83706

#13D2138791
(208) 302-0800 10/23/2021 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP
4400 E FLAMINGO WAY

NAMPA, ID 83687

#13D2138795
(208) 302-0860 10/23/2021 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - BOISE BENCH
1880 W JUDITH LANE

BOISE, ID 83705

#13D2084978
(208) 367-4185 10/5/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - BOWN CROSSING
2141 E PARKCENTER

BOISE, ID 83706

#13D1042786
(208) 302-5000 7/10/2021 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP - EAGLE HEALTH PLAZA
323 E RIVERSIDE DR #224

EAGLE, ID 83616

#13D0957185
(208) 367-5750 10/13/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - ELM
315 E ELM ST

CALDWELL, ID 83605

#13D0521217
(208) 453-7415 9/26/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - EMERALD
6051 W EMERALD ST

BOISE, ID 83704

#13D0521737
(208) 377-1520 10/28/2021 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP - INTERNAL MEDICINE
5966 W CURTISIAN AVE

BOISE, ID 83706

#13D2011240
(208) 367-6575 8/12/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - MCMILLAN
12273 W MCMILLAN RD

BOISE, ID 83713

#13D0980903
(208) 367-4224 12/6/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - MERIDIAN HEALTH PLAZA
3025 W CHERRY LN #B

MERIDIAN, ID 83642

#13D0919917
(208) 302-6400 9/22/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - OB/GYN
1072 N LIBERTY ST #100

BOISE, ID 83704

#13D0948286
(208) 367-7799 1/2/2021 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP - OVERLAND
10255 W OVERLAND RD

BOISE, ID 83709

#13D0919704
(208) 367-7205 8/31/2020 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP KUNA FAMILY MEDICINE
757 E WYTHE CREEK CT

KUNA, ID 83634

#13D2066566
(208) 367-3366 9/29/2021 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP LAKE HAZEL
10583 W LAKE HAZEL RD

BOISE, ID 83709

#13D2110065
(208) 302-5900 3/7/2020 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP PEDIATRIC SPECIALTY
1072 N LIBERTY ST STE 200

BOISE, ID 83704

#13D2149221
(208) 302-4600 5/28/2020 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP PEDIATRICS
1072 N LIBERTY ST #203

BOISE, ID 83704

#13D0979813
(208) 367-4321 2/2/2021 Physician Office
PPM
ST ALPHONSUS MEDICAL GROUP-KARCHER CLINIC
11035 W KARCHER RD

NAMPA, ID 83651

#13D2102383
(208) 302-6600 9/21/2021 Physician Office
Waiver
ST ALPHONSUS MEDICAL GROUP-MULTI SPECIALTY CLINIC
1906 FAIRVIEW AVE #430

CALDWELL, ID 83605

#13D2140932
(208) 302-7100 12/3/2019 Physician Office
Compliance
ST ALPHONSUS MERIDIAN ANTICOAGULATION CLINIC
3025 W CHERRY LN

MERIDIAN, ID 83642

#13D1081072
(208) 367-2166 3/11/2020 Ancillary Testing Site
Accreditation
ST ALPHONSUS REGIONAL MEDICAL CENTER
1055 N CURTIS RD

BOISE, ID 83706

#13D0646352
(208) 378-2156 1/2/2021 Hospital
Waiver
ST ALPHONSUS REGIONAL REHABILITATION HOSPITAL
711 NORTH CURTIS RD

BOISE, ID 83706

#13D2166280
(208) 605-3000 5/14/2021 Hospital
Waiver
ST JOSEPH MEDICAL GROUP - ENDOSCOPY
1630 23RD AVE #801

LEWISTON, ID 83501

#13D1026939
(208) 743-6200 6/17/2020 Ambulatory Surgery Center
Waiver
ST JOSEPH MEDICAL GROUP - GASTROENTEROLOGY CLINIC
1630 23RD AVE #701

LEWISTON, ID 83501

#13D1026938
(208) 750-7450 6/17/2020 Physician Office
Waiver
ST JOSEPH MEDICAL GROUP-LEWISTON MEDICAL CENTER
307 ST JOHN'S WAY #4

LEWISTON, ID 83501

#13D1065563
(208) 743-8585 4/14/2021 Physician Office
Waiver
ST JOSEPH MEDICAL GROUP-SOUTHWAY CLINIC
222 SOUTHWAY SUITES A AND C

LEWISTON, ID 83501

#13D0669585
(208) 743-1333 4/14/2021 Physician Office
Waiver
ST JOSEPH REGIONAL MEDICAL CENTER
500 8TH AVE
SAM GLENN COMPLEX ROOM 205
LEWISTON, ID 83501

#13D0865194
(208) 750-7204 6/30/2021 School/Student Health Service
Waiver
ST JOSEPH REGIONAL MEDICAL CENTER
415 6TH ST

LEWISTON, ID 83501

#13D0521134
(208) 799-2511 7/21/2021 Hospital
Waiver
ST JOSEPH RMC CANCER CENTER & BLOOD INSTITUTE
1250 IDAHO ST

LEWISTON, ID 83501

#13D2036411
(208) 743-7427 2/6/2020 Physician Office
Waiver
ST JOSEPH'S EAR NOSE THROAT & ALLERGY CLINIC
323 N SPOKANE ST STE 100

POST FALLS, ID 83854

#13D2143829
(208) 777-1320 2/5/2020 Physician Office
Waiver
ST JOSEPH'S EAR NOSE THROAT & ALLERGY CLINIC
2288 N MERRITT CREEK LOOP STE 100

COEUR D'ALENE, ID 83814

#13D2173910
(208) 777-1320 10/21/2021 Physician Office
Waiver
ST LUKE'S AMERICANA IMAGING CENTER
703 AMERICANA BLVD #100

BOISE, ID 83702

#13D1080323
(208) 706-7675 2/19/2020 Other
Waiver
ST LUKE'S ANTICOAGULATION CLINIC - PARKCENTER
701 E PARKCENTER BLVD

BOISE, ID 83706

#13D2005034
(208) 381-6523 7/8/2021 Ancillary Testing Site
Waiver
ST LUKE'S BEHAVIORAL HEALTH
414 SHOUP AVE #B

TWIN FALLS, ID 83303

#13D2064343
(208) 814-9100 8/18/2021 Physician Office
Accreditation
ST LUKE'S BOISE REGIONAL MEDICAL CENTER
ATTN LAB DIRECTOR
190 E BANNOCK ST
BOISE, ID 83712

#13D0662992
(208) 381-5071 1/2/2021 Hospital
Waiver
ST LUKE'S CANYON VIEW BEHAVIORAL HEALTH
228 SHOUP AVE W

TWIN FALLS, ID 83301

#13D0917174
(208) 814-7920 2/10/2020 Other
Waiver
ST LUKE'S CARDIOPULMONARY REHABILITATION CLINIC
754 N COLLEGE RD

TWIN FALLS, ID 83301

#13D2169762
(208) 814-7770 7/25/2021 Community Clinic
Waiver
ST LUKE'S CHILDREN'S AT THE YMCA
5155 S HILLSDALE

MERIDIAN, ID 83642

#13D2155438
(208) 706-6400 9/27/2020 Physician Office
Waiver
ST LUKE'S CHILDREN'S CALDWELL PEDIATRICS
1620 S KIMBALL AVE

CALDWELL, ID 83605

#13D2118784
(208) 505-2950 9/13/2020 Physician Office
Waiver
ST LUKE'S CHILDREN'S CENTER
1075 E PARK BLVD

BOISE, ID 83712

#13D2138529
(208) 381-5970 10/18/2021 Physician Office
PPM
ST LUKE'S CHILDREN'S PEDIATRICS AND FAMILY PRACTIC
4949 S HILLSDALE

MERIDIAN, ID 83642

#13D2138619
(208) 706-6400 10/1/2020 Physician Office
Waiver
ST LUKE'S CHILDREN'S TREASURE VALLEY PEDIATRICS
450 W STATE ST #100

EAGLE, ID 83616

#13D1075545
(208) 939-1035 9/20/2020 Physician Office
PPM
ST LUKE'S CLINIC - ADA MEDICAL ASSOCIATES
3399 E LOUISE DR STE 100

MERIDIAN, ID 83642

#13D0965625
(208) 288-2255 9/26/2021 Physician Office
Waiver
ST LUKE'S CLINIC - ADDISON CAMPUS
2550 ADDISON AVE E

TWIN FALLS, ID 83301

#13D1058228
(208) 814-0334 8/31/2020 Physician Office
Compliance
ST LUKE'S CLINIC - DERMATOLOGY
191 5TH ST W

KETCHUM, ID 83340

#13D0933599
(208) 725-2171 6/2/2020 Physician Office
PPM
ST LUKE'S CLINIC - FAMILY MEDICINE
9850 W ST LUKE'S DR #329

NAMPA, ID 83687

#13D2028958
(208) 463-7300 8/28/2021 Physician Office
PPM
ST LUKE'S CLINIC - FAMILY MEDICINE EAGLE
3101 E STATE ST #1100

EAGLE, ID 83616

#13D2049008
(208) 473-3500 10/28/2020 Physician Office
PPM
ST LUKE'S CLINIC - FAMILY MEDICINE GREENHURST
3165 E GREENHURST RD

NAMPA, ID 83686

#13D2029863
(208) 463-7330 9/14/2021 Physician Office
Waiver
ST LUKE'S CLINIC - IDAHO ENDOCRINOLOGY
520 S EAGLE RD #1234

MERIDIAN, ID 83642

#13D2046202
(208) 429-0300 8/28/2020 Physician Office
Waiver
ST LUKE'S CLINIC - IDAHO ENDOCRINOLOGY
403 S 11TH ST #100

BOISE, ID 83702

#13D0988938
(208) 429-0300 7/11/2021 Physician Office
PPM
ST LUKE'S CLINIC - MEADOWS VALLEY FAMILY MEDICINE
320 VIRGINIA ST

NEW MEADOWS, ID 83654

#15D0680038
(208) 347-2146 6/15/2021 Physician Office
PPM
ST LUKE'S CLINIC - MOUNTAIN STATES UROLOGY
520 S EAGLE RD #3112

MERIDIAN, ID 83642

#13D0521689
(208) 706-5800 2/10/2021 Physician Office
PPM
ST LUKE'S CLINIC - OB/GYN CENTER
100 E IDAHO ST #302

BOISE, ID 83712

#13D0672233
(208) 343-7501 10/12/2021 Physician Office
Waiver
ST LUKE'S CLINIC - RENAISSANCE III COUMADIN CLINIC
714 N COLLEGE RD

TWIN FALLS, ID 83301

#13D0520606
(208) 814-7375 9/23/2021 Community Clinic
PPM
ST LUKE'S CLINIC - SALMON RIVER FAMILY MEDICINE
214 N MAIN ST

RIGGINS, ID 83549

#15D0680064
(208) 628-3666 6/16/2021 Physician Office
PPM
ST LUKE'S CLINIC - THE WOMAN'S CLINIC
100 E IDAHO ST #400

BOISE, ID 83712

#13D0521612
(208) 345-5250 11/17/2020 Physician Office
PPM
ST LUKE'S CLINIC - THE WOMAN'S CLINIC
520 S EAGLE RD #3209

MERIDIAN, ID 83642

#13D0959801
(208) 884-3980 11/17/2020 Physician Office
PPM
ST LUKE'S CLINIC - TRINITY MOUNTAIN
465 MCKENNA DR

MOUNTAIN HOME, ID 83647

#13D0922939
(208) 587-9703 12/9/2020 Physician Office
PPM
ST LUKE'S CLINIC CAPITAL CITY FAMILY MEDICINE
1520 W STATE ST #100

BOISE, ID 83702

#13D0521601
(208) 367-6990 10/31/2021 Physician Office
Accreditation
ST LUKE'S CLINIC DERMATOLOGY & MOHS SURGERY
714 N COLLEGE RD #BLDG B

TWIN FALLS, ID 83301

#13D2060605
(208) 814-0114 8/12/2020 Physician Office
Waiver
ST LUKE'S CLINIC DIABETES EDUCATION
625 POLE LINE RD W
MEDICAL PLAZA 2 STE 2A
TWIN FALLS, ID 83301

#13D1073786
(208) 814-7271 9/16/2021 Physician Office
Waiver
ST LUKE'S CLINIC FAMILY MEDICINE
805 N 6TH E

MOUNTAIN HOME, ID 83647

#13D2099371
(208) 587-2450 7/26/2021 Physician Office
PPM
ST LUKE'S CLINIC MATERNAL FETAL MEDICINE
333 N 1ST ST #150

BOISE, ID 83702

#13D2066656
(208) 381-3088 9/30/2021 Physician Office
PPM
ST LUKE'S CLINIC MATERNAL FETAL MEDICINE - MER
3525 E LOUISE DR #220

MERIDIAN, ID 83642

#13D2066658
(208) 706-4696 9/30/2021 Physician Office
Waiver
ST LUKE'S CLINIC NEPHROLOGY
2001 BENCH ROAD

POCATELLO, ID 83201

#13D2011810
(208) 238-1039 8/23/2020 Physician Office
PPM
ST LUKE'S CLINIC OBSTETRICS & GYNECOLOGY MERIDIAN
520 S EAGLE RD #2110

MERIDIAN, ID 83642

#13D2072449
(208) 706-3220 1/29/2020 Physician Office
Waiver
ST LUKE'S CLINIC PAIN MANAGEMENT
520 S EAGLE RD #1222

MERIDIAN, ID 83642

#13D2023639
(208) 947-2266 4/27/2021 Physician Office
Waiver
ST LUKE'S CLINIC PAIN MANAGEMENT
701 E PARKCENTER BLVD

BOISE, ID 83706

#13D2145867
(208) 947-2266 3/15/2020 Physician Office
Waiver
ST LUKE'S CLINIC RENAISSANCE
730 N COLLEGE RD

TWIN FALLS, ID 83301

#13D1097363
(208) 933-4619 3/24/2021 Ambulatory Surgery Center
PPM
ST LUKE'S CLINIC-JEROME FAMILY MEDICINE
132 5TH AVE WEST

JEROME, ID 83338

#13D2172039
(208) 814-9800 9/12/2021 Physician Office
Waiver
ST LUKE'S CLINIC-NAMPA FAMILY JUSTICE CENTER
1305 3RD ST SOUTH

NAMPA, ID 83651

#13D2172995
(208) 577-4464 10/2/2021 Community Clinic
Waiver
ST LUKE'S CLINIC-OCCUPATIONAL HEALTH
115 5TH AVE W

JEROME, ID 83338

#13D2173899
(208) 814-9840 10/21/2021 Community Clinic
Waiver
ST LUKE'S CLINIC-UROGYNECOLOGY
100 E IDAHO ST STE 304

BOISE, ID 83712

#13D2168512
(208) 381-7040 7/1/2021 Community Clinic
PPM
ST LUKE'S CLINIC-UROLOGY MAGIC VALLEY
775 POLE LINE RD W STE 301

TWIN FALLS, ID 83301

#13D2159368
(208) 814-8700 12/17/2020 Physician Office
Waiver
ST LUKE'S CYSTIC FIBROSIS CLINIC
610 W HAYS ST

BOISE, ID 83702

#13D2148158
(208) 381-7092 5/3/2020 Ancillary Testing Site
PPM
ST LUKE'S EAGLE MEDICAL PLAZA
3101 E STATE ST

EAGLE, ID 83616

#13D1081498
(208) 473-3003 10/13/2020 Ambulatory Surgery Center
PPM
ST LUKE'S ELKS CHILDREN'S PAVILION
305 E JEFFERSON ST

BOISE, ID 83712

#13D2054986
(208) 381-7336 3/3/2021 Community Clinic
Waiver
ST LUKE'S ELKS INTERNAL MEDICINE
600 NORTH ROBBINS ROAD, SUITE 301

BOISE, ID 83702

#13D2125448
(208) 385-3329 2/6/2021 Physician Office
Accreditation
ST LUKE'S ELMORE MEDICAL CENTER
895 N 6TH E

MOUNTAIN HOME, ID 83647

#13D0521347
(208) 587-8401 2/15/2020 Hospital
Waiver
ST LUKE'S EMPLOYEE HEALTH
400 S BROADWAY

BOISE, ID 83702

#13D2131486
(208) 381-2667 5/29/2021 Physician Office
Waiver
ST LUKE'S EMPLOYEE HEALTH-MERIDIAN
520 S EALGE RD STE 1245

MERIDIAN, ID 83642

#13D2141951
(208) 381-2667 12/27/2021 Community Clinic
PPM
ST LUKE'S FAMILY HEALTH - EAST BOISE
2083 HOSPITALITY LN

BOISE, ID 83716

#13D0946891
(208) 333-8345 3/19/2020 Physician Office
PPM
ST LUKE'S FAMILY HEALTH - MERIDIAN
3399 E LOUISE DR STE 100

MERIDIAN, ID 83642

#13D0954184
(208) 887-6813 3/19/2020 Physician Office
PPM
ST LUKE'S FAMILY HEALTH - TEN MILE
3140 W MILANO DR #150

MERIDIAN, ID 83646

#13D1057078
(208) 887-4775 3/19/2020 Physician Office
Waiver
ST LUKE'S FAMILY MEDICINE
550 POLK ST STE B

TWIN FALLS, ID 83301

#13D2141840
(208) 814-7265 12/21/2021 Community Clinic
PPM
ST LUKE'S FAMILY MEDICINE-PARKCENTER
701 E PARKCENTER BLVD

BOISE, ID 83706

#13D1054362
(208) 381-6500 5/17/2020 Physician Office
PPM
ST LUKE'S FAMILY PRACTICE ASSOCIATES
21 E MAPLE ST

HAILEY, ID 83333

#13D0667314
(208) 788-3200 5/31/2020 Physician Office
PPM
ST LUKE'S FRUITLAND
1210 NW 16TH ST

FRUITLAND, ID 83619

#13D2029826
(208) 452-8700 9/14/2021 Physician Office
Accreditation
ST LUKE'S FRUITLAND CLINIC
1210 NW 16TH ST

FRUITLAND, ID 83619

#13D2005287
(208) 381-0379 11/15/2021 Community Clinic
Waiver
ST LUKE'S HOME CARE & HOSPICE
301 DEINHARD LN

MC CALL, ID 83638

#13D2070346
(208) 630-2440 12/12/2021 Home Health Agency
Waiver
ST LUKE'S HOME CARE & HOSPICE
601 POLELINE RD

TWIN FALLS, ID 83301

#13D2067998
(208) 814-7600 10/24/2021 Home Health Agency
Waiver
ST LUKE'S HUMPHREY DIABETES CENTER
520 S EAGLE RD STE 1226

MERIDIAN, ID 83642

#13D2141842
(208) 884-4220 12/21/2021 Other
Waiver
ST LUKE'S HUMPHREYS DIABETES CENTER
1226 RIVER ST

BOISE, ID 83702

#13D0521917
(208) 331-1155 11/28/2020 Ancillary Testing Site
Waiver
ST LUKE'S IDAHO CARDIOLOGY ASSOCIATES
300 E JEFFERSON ST #101

BOISE, ID 83712

#13D0951203
(208) 322-1680 4/1/2021 Physician Office
Waiver
ST LUKE'S IDAHO CARDIOLOGY ASSOCIATES
287 S JEFFERSON

BOISE, ID 83702

#13D2069637
(208) 388-7210 11/28/2021 Community Clinic
Waiver
ST LUKE'S IDAHO CARDIOLOGY ASSOCIATES
3525 E LOUISE DR #400

MERIDIAN, ID 83642

#13D2061223
(208) 322-1680 6/24/2021 Physician Office
Waiver
ST LUKE'S IDAHO CARDIOLOGY ASSOCIATES
3101 E STATE ST #1110

EAGLE, ID 83616

#13D2030135
(208) 322-1680 1/10/2021 Physician Office
Waiver
ST LUKE'S IDAHO CARDIOLOGY ASSOCIATES
215 E HAWAII AVE #SLICA

NAMPA, ID 83686

#13D2030222
(208) 322-1680 4/9/2021 Physician Office
Waiver
ST LUKE'S IDAHO CARDIOLOGY ASSOCIATES-ACC
1906 FAIRVIEW AVE STE 350

CALDWELL, ID 83605

#13D0981947
(208) 322-1680 1/10/2021 Physician Office
PPM
ST LUKE'S IDAHO FAMILY PHYSICIANS
130 E BOISE AVE

BOISE, ID 83706

#13D0902241
(208) 345-4066 8/18/2021 Physician Office
Waiver
ST LUKE'S IDAHO PULMONARY ASSOCIATES
2347 E GALA ST

MERIDIAN, ID 83642

#13D2035706
(208) 323-3767 1/23/2020 Physician Office
Waiver
ST LUKE'S IDAHO PULMONARY ASSOCIATES
2051 E SUMMERSWEET DR

BOISE, ID 83716

#13D2041530
(208) 323-3767 5/22/2020 Physician Office
Waiver
ST LUKE'S IDAHO PULMONARY ASSOCIATES
1210 NW 16TH ST

FRUITLAND, ID 83619

#13D2116015
(208) 323-3767 7/17/2020 Physician Office
Waiver
ST LUKE'S IMAGING CENTER - PORTICO
3277 E LOUISE DR #100

MERIDIAN, ID 83642

#13D2054598
(208) 706-7010 2/24/2021 Other
Waiver
ST LUKE'S INTERMOUNTAIN RESEARCH CENTER
520 S EAGLE RD #3211

MERIDIAN, ID 83642

#13D2070356
(208) 489-4369 12/12/2021 Ancillary Testing Site
Waiver
ST LUKE'S INTERMOUNTAIN RESEARCH CENTER
600 N ROBBINS RD #402

BOISE, ID 83702

#13D1040329
(208) 489-4369 5/4/2021 Ancillary Testing Site
Waiver
ST LUKE'S INTERNAL MEDICINE
520 S EAGLE RD STE 3102

MERIDIAN, ID 83642

#13D2068325
(208) 706-5100 11/2/2021 Physician Office
PPM
ST LUKE'S INTERNAL MEDICINE - CLOVERDALE
4840 N CLOVERDALE RD

BOISE, ID 83713

#13D1043918
(208) 706-8000 8/4/2021 Physician Office
PPM
ST LUKE'S INTERNAL MEDICINE - EAGLE
3101 E STATE ST #2120

EAGLE, ID 83616

#13D1094941
(208) 473-3275 1/28/2021 Physician Office
PPM
ST LUKE'S INTERNAL MEDICINE-PARK PLACE
1000 E PARK BLVD #150

BOISE, ID 83712

#13D0857174
(208) 381-4100 11/4/2021 Physician Office
Compliance
ST LUKE'S JEROME
709 N LINCOLN AVE

JEROME, ID 83338

#13D0520720
(208) 814-9760 1/7/2021 Other
Waiver
ST LUKE'S LIFESTYLE MEDICINE
5255 S HILSDALE AVE

MERIDIAN, ID 83642

#13D2148603
(208) 706-7050 5/14/2020 Physician Office
Accreditation
ST LUKE'S MAGIC VALLEY - MAIN CAMPUS
801 POLE LINE RD W

TWIN FALLS, ID 83301

#13D0520576
(208) 814-1000 1/2/2021 Hospital
Accreditation
ST LUKE'S MCCALL HOSPITAL LABORATORY
1000 STATE ST

MCCALL, ID 83638

#13D0521298
(208) 634-2221 3/5/2021 Hospital
Waiver
ST LUKE'S MEDICAL PLAZA 1
775 POLE LINE RD W

TWIN FALLS, ID 83301

#13D2154269
(208) 814-0326 9/9/2020 Physician Office
PPM
ST LUKE'S MEN'S HEALTH CLINIC
3399 E LOUISE DR STE 100

MERIDIAN, ID 83642

#13D2121988
(208) 706-8085 11/16/2020 Physician Office
Waiver
ST LUKE'S MOUNTAIN STATES TUMOR INSTITUTE
1118 NW 16TH ST #D

FRUITLAND, ID 83619

#13D2092636
(208) 452-7677 3/9/2021 Other
PPM
ST LUKE'S MOUNTAIN STATES UROLOGY - EAGLE
3101 E STATE ST #2107

EAGLE, ID 83616

#13D2013216
(208) 706-5800 9/15/2020 Physician Office
PPM
ST LUKE'S MOUNTAIN STATES UROLOGY BOISE
510 N 2ND ST #103

BOISE, ID 83702

#13D0676991
(208) 381-7243 12/7/2021 Physician Office
PPM
ST LUKE'S MOUNTAIN VIEW MEDICAL CENTER
3301 N SAWGRASS WAY

BOISE, ID 83704

#13D0521757
(208) 375-0862 7/17/2021 Physician Office
Accreditation
ST LUKE'S NAMPA LABORATORY
9850 W ST LUKE'S DR

NAMPA, ID 83687

#13D2041336
(208) 505-2040 3/18/2020 Other
PPM
ST LUKE'S NEPHORLOGYCLINIC #6
746 N COLLEGE RD STE D, GENOA BLDG

TWIN FALLS, ID 83301

#13D1071077
(208) 814-7230 7/17/2021 Physician Office
Waiver
ST LUKE'S OCCUPATIONAL HEALTH
9850 W ST LUKE'S DRIVE #207

NAMPA, ID 83687

#13D2054049
(208) 505-2712 10/10/2020 Physician Office
Waiver
ST LUKE'S OCCUPATIONAL HEALTH SERVICES
703 AMERICANA BLVD #130

BOISE, ID 83702

#13D1079420
(208) 706-7500 10/10/2020 Physician Office
Waiver
ST LUKE'S OCCUPATIONAL HEALTH SERVICES
520 S EAGLE RD #2213

MERIDIAN, ID 83642

#13D1079422
(208) 706-5447 1/30/2020 Physician Office
Waiver
ST LUKE'S ORTHOPEDIC SURGERY CENTER
1425 W RIVER ST

BOISE, ID 83702

#13D0992124
(208) 342-2087 10/8/2021 Ambulatory Surgery Center
Waiver
ST LUKE'S ORTHOPEDIC SURGERY CENTER - ELKS
600 N ROBBINS RD #400

BOISE, ID 83702

#13D0968587
(208) 489-4279 12/15/2021 Ambulatory Surgery Center
PPM
ST LUKE'S PAYETTE LAKES MEDICAL CLINIC
211 FOREST ST

MCCALL, ID 83638

#13D2081826
(208) 630-2335 7/30/2020 Community Clinic
PPM
ST LUKE'S PHYSICIAN CENTER-BUHL
980 BURLEY AVE

BUHL, ID 83316

#13D1044083
(208) 543-9163 2/3/2021 Physician Office
Accreditation
ST LUKE'S REGIONAL MEDICAL CENTER'S
3176 S DENVER WAY

BOISE, ID 83705

#13D2018947
(208) 381-8829 3/27/2020 Hospital
Waiver
ST LUKE'S REHABILITATION HOSPITAL
ATTN LABORATORY
600 N ROBBINS RD
BOISE, ID 83702

#13D0708480
(208) 489-4444 8/31/2020 Hospital
PPM
ST LUKE'S SPECIALTY AND QUICK CARE CLINIC
840 N 4TH EAST

MOUNTAIN HOME, ID 83647

#13D2111955
(208) 587-1850 6/12/2021 Community Clinic
PPM
ST LUKE'S SYRINGA FAMILY MEDICINE
2347 E GALA STREET #150

MERIDIAN, ID 83642

#13D1087215
(208) 345-3530 7/28/2020 Physician Office
PPM
ST LUKE'S UROLOGY - NAMPA
9850 W ST LUKES DR STE 300

NAMPA, ID 83687

#13D2071334
(208) 463-7380 1/9/2020 Physician Office
PPM
ST LUKE'S WOOD RIVER HAILEY CLINIC
ATTN LABORATORY
1450 AVIATION DR #100
HAILEY, ID 83333

#13D1038905
(208) 727-8460 10/29/2020 Physician Office
Waiver
ST LUKE'S WOOD RIVER HOMECARE
1450 AVIATION DRIVE, STE B-00

HAILEY, ID 83333

#13D2052986
(208) 727-8765 1/22/2021 Home Health Agency
Accreditation
ST LUKE'S WOOD RIVER MEDICAL CENTER
100 HOSPITAL DRIVE

KETCHUM, ID 83340

#13D0520773
(208) 727-8615 10/9/2021 Hospital
Waiver
ST LUKE'S WOUND & HYPERBARICS
600 N ROBBINS RD

BOISE, ID 83702

#13D2088866
(208) 489-5800 12/16/2020 Other
Waiver
ST LUKE'S WOUND & HYPERBARICS
3277 E LOUISE DR #410

MERIDIAN, ID 83642

#13D2088872
(208) 485-5800 12/16/2020 Other
Waiver
ST LUKES ANTICOAGULATION CLINIC
9850 W ST LUKES DR

NAMPA, ID 83687

#13D2101842
(208) 322-1680 9/10/2021 Physician Office
PPM
ST LUKES FAMILY HEALTH - WEST BOISE
12080 W MCMILLAN RD

BOISE, ID 83713

#13D0662790
(208) 375-4955 3/19/2020 Physician Office
Waiver
ST LUKES HOME CARE & HOSPICE TREASURE VALLEY
3330 E LOUISE DR

MERIDIAN, ID 83642

#13D2104569
(208) 381-2138 11/5/2021 Home Health Agency
Accreditation
ST LUKES MERIDIAN MEDICAL CENTER
520 S EAGLE RD

MERIDIAN, ID 83642

#13D0911726
(208) 893-5341 4/26/2021 Other
PPM
ST MARY'S CRAIGMONT CLINIC
320 N DIVISION ST

CRAIGMONT, ID 83523

#13D1047840
(208) 924-5504 2/26/2021 Community Clinic
Waiver
ST MARY'S ELK CITY CLINIC
133 HWY 14

ELK CITY, ID 83525

#13D0998975
(208) 842-2652 3/10/2021 Community Clinic
PPM
ST MARY'S GRANGEVILLE MEDICAL CENTER
617 W NORTH 2ND ST #2

GRANGEVILLE, ID 83530

#13D2088849
(208) 983-6027 5/3/2021 Community Clinic
Compliance
ST MARY'S HOSPITAL
701 LEWISTON ST

COTTONWOOD, ID 83522

#13D0521144
(208) 962-3251 5/11/2021 Hospital
PPM
ST MARY'S KAMIAH CLINIC
518 OAK ST

KAMIAH, ID 83536

#13D0686885
(208) 935-0945 7/31/2021 Community Clinic
PPM
ST MARY'S NEZPERCE CLINIC
501 OAK ST

NEZPERCE, ID 83543

#13D0686886
(208) 937-2496 7/31/2021 Community Clinic
Waiver
STANTON HEALTHCARE
2176 E FRANKLIN RD STE 130

MERIDIAN, ID 83642

#13D1099015
(208) 629-7766 5/3/2021 Other
Waiver
STANTON HEALTHCARE TWIN FALLS
718 SHOSHONE ST E

TWIN FALLS, ID 83301

#13D2073559
(208) 734-7472 2/19/2020 Other
PPM
STAR MEDICAL
9858 W STATE ST

STAR, ID 83669

#13D1036449
(208) 286-9471 12/18/2020 Other Practitioner
Waiver
STATE HOSPITAL NORTH
300 HOSPITAL DR

OROFINO, ID 83544

#13D0521185
(208) 476-4511 8/24/2020 Hospital
Waiver
STATE HOSPITAL SOUTH
700 E ALICE ST

BLACKFOOT, ID 83221

#13D0520437
(208) 785-1200 10/21/2020 Other
Accreditation
STEELE MEMORIAL MEDICAL CENTER
203 S DAISY ST

SALMON, ID 83467

#13D0521047
(208) 756-4291 11/10/2020 Hospital
Compliance
STERLING URGENT CARE
740 S WOODRUFF AVE

IDAHO FALLS, ID 83401

#13D0989496
(208) 542-9111 3/24/2020 Physician Office
Compliance
STERLING URGENT CARE
1404 POMERELLE STE A1

BURLEY, ID 83318

#13D2099992
(208) 878-8783 9/25/2020 Physician Office
Registration
STERLING URGENT CARE
507 S MAIN STREET

HAILEY, ID 83333

#13D2157719
(208) 788-4122 11/12/2020 Physician Office
Waiver
STORY FAMILY MEDICINE
212 E 6TH ST

MOSCOW, ID 83843

#13D2155616
(208) 310-7773 10/1/2020 Physician Office
Waiver
STRUBLE CHIROPRACTIC INC
1675 N MAPLE GROVE RD

BOISE, ID 83704

#13D2073566
(208) 376-4940 2/19/2020 Physician Office
Waiver
SUMMIT EYE CARE REXBURG
24 E MAIN STREET

REXBURG, ID 83440

#13D2142177
(208) 356-0881 1/3/2020 Physician Office
Waiver
SUMMIT EYECARE
3351 MERLIN DR

IDAHO FALLS, ID 83404

#13D2121356
(208) 552-5594 11/2/2020 Physician Office
Waiver
SUMMIT EYECARE
1689 PANCHERI DR

IDAHO FALLS, ID 83402

#13D2121366
(208) 522-5594 11/2/2020 Physician Office
Waiver
SUMMIT EYECARE
301 S 4TH AVE C-2

POCATELLO, ID 83201

#13D2121368
(208) 422-5594 11/2/2020 Physician Office
Waiver
SUMMIT EYECARE
45 W 1ST NORTH

SAINT ANTHONY, ID 83445

#13D2121372
(208) 522-5594 11/2/2020 Physician Office
PPM
SUMMIT FAMILY HEALTH
1828 MILLENIUM WAY #300

MERIDIAN, ID 83642

#13D2123446
(208) 949-8642 12/19/2020 Physician Office
Waiver
SUMMIT ORTHOPAEDICS
2321 CORONADO ST

IDAHO FALLS, ID 83404

#13D2029459
(208) 227-1100 9/7/2021 Physician Office
Waiver
SUNNY RIDGE
2609 SUNNYBROOK DR

NAMPA, ID 83686

#13D0521402
(208) 467-7298 8/31/2020 Ancillary Testing Site
Waiver
SUNNYSIDE SURGERY CENTER
3345 S HOLMES AVE #B

IDAHO FALLS, ID 83404

#13D1049032
(208) 528-2858 12/19/2021 Ambulatory Surgery Center
Waiver
SUNSET HOME ASSISTED LIVING INC
510-920 HIGHWAY 95

BONNERS FERRY, ID 83805

#13D2053348
(208) 267-0260 1/29/2021 Assisted Living Facility
Waiver
SURGICARE CENTER IDAHO
360 E MALLARD DR #125

BOISE, ID 83706

#13D1019855
(208) 336-8700 12/1/2021 Ambulatory Surgery Center
PPM
SYRINGA CLINIC - GRANGEVILLE VA
711 W NORTH ST #2

GRANGEVILLE, ID 83530

#13D2017693
(208) 983-4671 12/15/2020 Other
Waiver
SYRINGA HOME TRAINING
1070 N CURTIS RD STE 125

BOISE, ID 83706

#13D2139485
(208) 375-4027 11/2/2021 End Stage Renal Disease Facility
Compliance
SYRINGA HOSPITAL & CLINICS
607 W MAIN ST

GRANGEVILLE, ID 83530

#13D0521160
(208) 983-8513 6/5/2021 Hospital
PPM
SYRINGA KOOSKIA CLINIC
22 N MAIN ST

KOOSKIA, ID 83539

#13D1007526
(208) 926-4776 1/25/2021 Rural Health Clinic
Waiver
SYRINGA PLACE
1880 HARRISON ST N

TWIN FALLS, ID 83301

#13D2058937
(208) 733-7511 5/14/2021 Assisted Living Facility
PPM
SYRINGA PRIMARY CARE CLINIC
722 W NORTH ST

GRANGEVILLE, ID 83530

#13D1056053
(208) 983-8590 7/4/2020 Rural Health Clinic
Waiver
SYRINGA SURGERY CENTER
1630 23RD AVE, SUITE 901-B

LEWISTON, ID 83501

#13D1026028
(208) 298-0103 5/24/2020 Ambulatory Surgery Center
Waiver
T2 APOTHECARY DBA KJ'S PHARMACY
615 FILER AVE

TWIN FALLS, ID 83301

#13D2156322
(208) 733-9242 10/15/2020 Pharmacy
Waiver
TABLE ROCK DIALYSIS CENTER
5610 W GAGE ST #B

BOISE, ID 83706

#13D0856303
(208) 367-6908 8/31/2020 End Stage Renal Disease Facility
Waiver
TABLE ROCK MOBILE MEDICINE PLLC
13960 W WAINWRIGHT

BOISE, ID 83713

#13D2113001
(208) 384-9022 5/12/2020 Other Practitioner
PPM
TARTER FAMILY MEDICINE
1560 N CRESTMONT DR #A

MERIDIAN, ID 83642

#13D2102380
(208) 650-4888 9/21/2021 Physician Office
Waiver
TEMPLE VIEW TRANSITIONAL CARE CENTER
660 SOUTH 2ND WEST

REXBURG, ID 83440

#13D0521011
(208) 356-0220 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
TERRACE HOME HEALTH BOISE LLC
2929 W NAVIGATOR DR STE 120

MERIDIAN, ID 83642

#13D2165848
(208) 506-7200 5/6/2021 Home Health Agency
Waiver
TERRY REILLY ALLUMBAUGH HOUSE
400 N ALLUMBAUGH ST

BOISE, ID 83704

#13D2002357
(208) 377-9669 7/14/2020 Other
PPM
TERRY REILLY HEALTH SERVICES
223 16TH AVENUE NORTH

NAMPA, ID 83687

#13D2151193
(208) 318-1267 7/12/2020 Federally Qualified Health Center
PPM
TERRY REILLY HEALTH SERVICES - BOISE
300 SOUTH 23RD STREET

BOISE, ID 83702

#13D0890002
(208) 318-1267 4/21/2021 Federally Qualified Health Center
PPM
TERRY REILLY HEALTH SERVICES-CALDWELL ARLINGTON
2005 ARLINGTON

CALDWELL, ID 83605

#13D2102577
(208) 318-1267 9/24/2021 Federally Qualified Health Center
PPM
TERRY REILLY HEALTH SERVICES-HOMEDALE
108 E IDAHO

HOMEDALE, ID 83628

#13D2102585
(208) 337-3189 9/24/2021 Federally Qualified Health Center
PPM
TERRY REILLY HEALTH SERVICES-LATAH
848 LA CASSIA ST

BOISE, ID 83705

#13D2156855
(208) 318-1267 10/24/2020 Health Maintenance Organization
PPM
TERRY REILLY HEALTH SERVICES-NAMPA 1ST
207 1ST ST S

NAMPA, ID 83651

#13D0056614
(208) 318-1267 5/31/2020 Federally Qualified Health Center
Accreditation
TETON CANCER INSTITUTE
1957 E 17TH ST

IDAHO FALLS, ID 83404

#13D1037928
(208) 523-1100 8/14/2020 Physician Office
Accreditation
TETON CANCER INSTITUTE - REXBURG
380 WALKER DR

REXBURG, ID 83440

#13D0990424
(208) 356-9559 8/14/2020 Physician Office
Waiver
TETON HEALTHCARE INC DBA HORIZON HOSPICE
63 W WILLOWBROOK DR

MERIDIAN, ID 83646

#13D2133621
(208) 888-7877 7/16/2021 Hospice
Waiver
TETON HOSPICE
2470 JAFER CT

IDAHO FALLS, ID 83404

#13D2035043
(208) 529-3636 1/9/2020 Hospice
Waiver
TETON MEDICAL GROUP PLLC
255 N 3RD E

REXBURG, ID 83440

#13D1076682
(208) 356-7585 1/11/2020 Physician Office
Waiver
TETON MEDICAL GROUP-ST ANTHONY
30 W MAIN ST

SAINT ANTHONY, ID 83445

#13D2135574
(208) 356-7535 8/22/2021 Physician Office
Waiver
TETON POST ACUTE CARE & REHABILITATION
3111 CHANNING WAY

IDAHO FALLS, ID 83404

#13D2061667
(208) 529-0067 7/1/2021 Skilled Nursing Facility/Nursing Facility
Compliance
TETON VALLEY HOSPITAL
120 E HOWARD ST

DRIGGS, ID 83422

#13D0520979
(208) 354-6327 9/19/2021 Hospital
Compliance
TETON WOMENS HEALTH CENTER
2001 S WOODRUFF AVE #10

IDAHO FALLS, ID 83404

#13D0926382
(208) 523-2060 12/1/2021 Physician Office
Waiver
THE EYE ASSOCIATES
2620 S EAGLE RD

MERIDIAN, ID 83642

#13D2037235
(208) 342-5151 2/21/2020 Physician Office
PPM
THE HEALING HUT
7660 HORSESHOE BEND RD STE D

BOISE, ID 83714

#13D2123692
(208) 939-6748 12/27/2020 Other Practitioner
PPM
THE HEALING SANCTUARY
187 EAST 13TH STREET

IDAHO FALLS, ID 83404

#13D2123747
(208) 497-0500 12/29/2020 Physician Office
Waiver
THE NEIGHBORHOOD CLINIC
2036 N COLE RD

BOISE, ID 83704

#13D2098999
(208) 375-0722 7/19/2021 Other Practitioner
Compliance
THE PAIN CENTER
1825 S KIMBALL AVE

CALDWELL, ID 83605

#13D2014037
(208) 455-3535 9/13/2020 Independent
Waiver
THE PEDIATRIC CENTER
530 RIGBY LAKES DR

RIGBY, ID 83442

#13D2117285
(208) 523-3060 8/11/2020 Physician Office
Waiver
THE PEDIATRIC PLACE
1236 BOND AVE STE B

REXBURG, ID 83440

#13D2162812
(208) 701-0277 2/28/2021 Physician Office
Waiver
THE TERRACES OF BOISE
5301 E WARM SPRINGS AVE

BOISE, ID 83716

#13D2104971
(208) 336-5550 11/15/2021 Assisted Living Facility
Waiver
THOMAS HAMMER PEDIATRICS
1209 N JACOB ALLCOTT WAY

NAMPA, ID 83687

#13D1102325
(208) 461-8700 7/15/2021 Physician Office
Waiver
THRIVE PEDIATRICS
4740 N PENNGROVE WAY

MERIDIAN, ID 83646

#13D2169089
(208) 514-0203 7/15/2021 Physician Office
Waiver
THRIVE TREATMENT CENTER
841 N BOULDER CT UNIT B

POST FALLS, ID 83854

#13D2143296
(208) 916-5938 1/25/2020 Other Practitioner
Waiver
TNT APOTHECARY DBA WENDELL PHARMACY
280 S IDAHO STREET

WENDELL, ID 83355

#13D2127424
(208) 536-5761 3/13/2021 Pharmacy
Waiver
TODAY'S EYE CARE
76 PROFESSIONAL PLAZA

REXBURG, ID 83440

#13D1092606
(208) 356-4585 11/30/2020 Physician Office
Waiver
TOMORROW'S HOPE, INC
1655 FAIRVIEW AVE #100

BOISE, ID 83702

#13D1094545
(208) 319-0760 1/21/2021 Intermediate Care Fac For Mentally Retarded
Waiver
TOTAL CARE MEDICAL CLINIC PLLC
303 E LOGAN ST

CALDWELL, ID 83605

#13D2016364
(208) 459-3252 11/16/2020 Physician Office
PPM
TOTAL FAMILY MEDICINE
1995 E 17TH ST #5

IDAHO FALLS, ID 83404

#13D1016022
(208) 529-2544 9/8/2021 Physician Office
PPM
TOTAL HEALTH PHYSICIAN GROUP
619 S WASHINGTON ST #203

MOSCOW, ID 83843

#13D0971757
(208) 892-1346 3/20/2020 Physician Office
PPM
TOTAL LIFE CLINIC PLLC
2311 PARK AVE STE 6

BURLEY, ID 83318

#13D2124589
(208) 650-3807 1/19/2021 Physician Office
Waiver
TOUCHMARK HOME HEALTH
625 S ARBOR LN

MERIDIAN, ID 83642

#13D0947553
(208) 884-3308 6/17/2020 Home Health Agency
Waiver
TRANSFORMHEALTH RX
126 E 21ST ST

BURLEY, ID 83318

#13D2085788
(208) 678-2192 10/21/2020 Physician Office
Compliance
TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER
6051 N EAGLE RD

BOISE, ID 83713

#13D2142889
(208) 519-4333 4/3/2021 Physician Office
Waiver
TREASURE VALLEY DIALYSIS CENTER
3045 E ST LUKES ST STE 105

MERIDIAN, ID 83642

#13D1040326
(208) 877-2174 5/4/2021 End Stage Renal Disease Facility
Waiver
TREASURE VALLEY ENDOCRINOLOGY
900 N LIBERTY ST #201

BOISE, ID 83704

#13D1067140
(208) 367-6740 4/10/2021 Physician Office
Waiver
TREASURE VALLEY EYECARE
1702 S KIMBALL AVE

CALDWELL, ID 83605

#13D2067459
(208) 697-4873 10/15/2021 Other Practitioner
PPM
TREASURE VALLEY FAMILY MEDICINE
2428 N STOKESBERRY PL

MERIDIAN, ID 83646

#13D2084780
(208) 895-0050 9/29/2020 Physician Office
Waiver
TREASURE VALLEY GASTROENTEROLOGY
222 W IOWA AVE #A

NAMPA, ID 83686

#13D2013219
(208) 467-3432 9/15/2020 Physician Office
Waiver
TREASURE VALLEY HOSPICE
8 6TH ST N #200

NAMPA, ID 83687

#13D2015331
(208) 467-7423 10/25/2020 Hospice
Waiver
TREASURE VALLEY HOSPITAL
8800 WEST EMERALD ST

BOISE, ID 83704

#13D2166388
(208) 373-5000 5/15/2021 Hospital
Waiver
TREASURE VALLEY LABORATORY IDAHO FALLS
2001 S WOODRUFF #14

IDAHO FALLS, ID 83404

#13D0646297
(208) 367-8028 12/4/2020 Independent
Waiver
TREASURE VALLEY MEDICAL RESEARCH
1000 N CURTIS RD STE 102

BOISE, ID 83706

#13D2138974
(469) 500-6017 10/26/2021 Physician Office
PPM
TREASURE VALLEY MIDWIVES
207 W WASHINGTON ST

BOISE, ID 83702

#13D2004871
(208) 343-2079 3/14/2020 Other Practitioner
Waiver
TREASURE VALLEY PATH INC
1327 W BEACON ST

BOISE, ID 83706

#13D2121558
(208) 384-9504 11/7/2020 Community Clinic
Waiver
TREASURE VALLEY PEDIATRICS
1620 SOUTH CELEBRATION AVENUE

MERIDIAN, ID 83642

#13D0671754
(208) 884-1030 8/10/2020 Physician Office
PPM
TREASURE VALLEY UROLOGY PLLC
3085 E MAGIC VIEW DR STE 140

MERIDIAN, ID 83642

#13D2159390
(208) 409-2106 12/17/2020 Physician Office
Compliance
TRI-STATE CLEARWATER MEDICAL CLINIC
1522 17TH ST

LEWISTON, ID 83501

#13D0521095
(208) 305-6388 8/15/2020 Physician Office
Waiver
TRI-STATE CONVENIENT CARE-LEWISTON
332 THAIN RD

LEWISTON, ID 83501

#13D2160350
(509) 758-5511 1/8/2021 Other
Waiver
TRI-STATE CONVENIENT CARE-MOSCOW
411 N MAIN STREET

MOSCOW, ID 83843

#13D2169366
(509) 758-5511 7/17/2021 Other
Waiver
TRI-STATE FAMILY PRACTICE
2841 JUNIPER DR STE #2

LEWISTON, ID 83501

#13D2146597
(208) 848-9001 4/2/2020 Physician Office
Waiver
TRINITY FAMILY MEDICINE
2985 S MERIDIAN RD STE 100

MERIDIAN, ID 83642

#13D1097046
(208) 287-9444 3/16/2021 Mobile Laboratory
PPM
TRIPP FAMILY MEDICINE
1411 FILLMORE ST #600

TWIN FALLS, ID 83301

#13D2047648
(208) 933-4400 9/30/2020 Physician Office
Waiver
TRITON ELITE ATHLETIC MEDICINE
2392 E GOWEN RD

BOISE, ID 83716

#13D2141178
(208) 810-2318 12/7/2019 Physician Office
Waiver
TRONE HEALTH SERVICES INC
2790 W CHERRY LANE #100

MERIDIAN, ID 83642

#13D1085986
(208) 288-1496 7/17/2021 Pharmacy
Waiver
TROY CLINIC
412 S MAIN ST

TROY, ID 83871

#13D2041718
(208) 835-5550 4/1/2021 Community Clinic
Waiver
TWIN FALLS CENTER
674 EASTLAND DRIVE

TWIN FALLS, ID 83301

#13D0675190
(208) 734-4264 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
TWIN FALLS COUNTY JAIL-MEDICAL
504 GOODING ST N

TWIN FALLS, ID 83303

#13D2173598
(208) 734-4124 10/15/2021 Prison
Waiver
TWIN FALLS DIALYSIS CENTER
582 POLE LINE RD

TWIN FALLS, ID 83301

#13D0936397
(208) 733-2006 11/19/2021 End Stage Renal Disease Facility
PPM
TWO RIVERS MEDICAL CLINIC, PA
683 E 3RD ST

WEISER, ID 83672

#13D0521438
(208) 549-0211 1/18/2021 Physician Office
PPM
U OF U NEPHROLOGY-IDAHO FALLS NEPHROLOGY
2225 TETON PLAZA SUITE C

IDAHO FALLS, ID 83404

#13D2160094
(208) 523-6200 1/3/2021 Physician Office
Waiver
UNIFIED HEALTHCARE OF IDAHO
2275 W BROADWAY STE G

IDAHO FALLS, ID 83402

#13D2100796
(208) 524-7400 8/20/2021 Physician Office
Waiver
UNION PACIFIC RAILROAD
300 S HARRISON AVE

POCATELLO, ID 83204

#13D1094078
(208) 236-5236 1/8/2021 Industrial
Waiver
UNITED DRUG TESTING LAB, LLC
1010 N ORCHARD ST #8

BOISE, ID 83706

#13D2090200
(208) 331-4097 1/15/2021 Independent
Waiver
UNITY HEALTH CENTER
1130 E FAIRVIEW AVE

MERIDIAN, ID 83642

#13D2008060
(208) 895-6729 6/2/2020 Community Clinic
Compliance
UPPER VALLEY COMMUNITY HEALTH SERVICES
20 N 3RD E

SAINT ANTHONY, ID 83445

#13D1077351
(208) 624-4100 8/12/2020 Federally Qualified Health Center
Compliance
UPPER VALLEY COMMUNITY HEALTH SERVICES
72 S 1ST E

REXBURG, ID 83440

#13D2100790
(208) 356-4900 8/7/2021 Federally Qualified Health Center
Waiver
UPPER VALLEY ENT & ALLERGY
256 N 2ND E

REXBURG, ID 83440

#13D1065502
(208) 656-9646 3/1/2021 Physician Office
Compliance
UPPER VALLEY FAMILY MEDICINE
711 RIGBY LAKE DR #115

RIGBY, ID 83442

#13D1028524
(208) 745-5021 10/1/2020 Physician Office
Waiver
UPPER VALLEY FAMILY MEDICINE PLLC
1286 E 1500 N

TERRETON, ID 83450

#13D2156528
(208) 745-5021 10/18/2020 Physician Office
PPM
UPPER VALLEY FAMILY PRACTICE
32 W 1ST S

REXBURG, ID 83440

#13D1040809
(208) 356-8883 5/17/2021 Physician Office
Waiver
UPPER VALLEY SURGERY CENTER
256 N 2ND E #1

REXBURG, ID 83440

#13D2126611
(208) 659-9646 2/28/2021 Ambulatory Surgery Center
Waiver
URGENT CARE OF JEROME
133 W AVENUE A #B

JEROME, ID 83338

#13D2082421
(208) 678-6996 10/5/2020 Other
Waiver
URGENT CARE OF TWIN FALLS
2392 ADDISON AVE E

TWIN FALLS, ID 83301

#13D2099755
(208) 933-4440 10/5/2020 Other
PPM
VALLEY FAMILY HEALTH CARE INC
1441 NE 10TH AVE

PAYETTE, ID 83661

#13D0646334
(208) 642-9376 1/8/2021 Physician Office
Waiver
VALLEY VIEW FAMILY MEDICAL
1100 N LINCOLN AVE

JEROME, ID 83338

#13D2001599
(208) 324-6656 12/22/2021 Physician Office
Waiver
VALLEY VIEW NURSING & REHABILITATION
1140 N ALLUMBAUGH ST

BOISE, ID 83704

#13D0521780
(208) 850-8500 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
VALLEY VISTA CARE CENTER
820 ELM STREET

SAINT MARIES, ID 83861

#13D0522343
(208) 245-4576 8/31/2020 Skilled Nursing Facility/Nursing Facility
Waiver
VALLEY VISTA CARE CENTER OF SANDPOINT
220 S DIVISION AVE

SANDPOINT, ID 83864

#13D0646375
(208) 265-4514 8/31/2020 Skilled Nursing Facility/Nursing Facility
Compliance
VALOR HEALTH
1202 E LOCUST ST

EMMETT, ID 83617

#13D0521272
(208) 901-3255 2/24/2021 Hospital
Waiver
VANDAL HEALTH EDUCATION
875 PERIMETER DR MS 4201

MOSCOW, ID 83844

#13D2167107
(208) 885-4146 6/2/2021 School/Student Health Service
Accreditation
VIBRA HOSPITAL OF BOISE
6651 W FRANKLIN RD

BOISE, ID 83709

#13D1079064
(208) 514-5675 7/22/2021 Hospital
PPM
VICTOR HEALTH CLINIC
83 NORTH MAIN ST

VICTOR, ID 83455

#13D1107387
(208) 354-6307 11/3/2021 Rural Health Clinic
Waiver
VISION CARE CENTER OF IDAHO
3071 E FRANKLIN RD #101

MERIDIAN, ID 83642

#13D0975825
(208) 655-3937 7/18/2020 Ambulatory Surgery Center
Waiver
VISION QUEST MEDICAL CENTER
5680 W GAGE ST

BOISE, ID 83706

#13D1087242
(208) 377-3937 7/29/2020 Physician Office
Waiver
VISION QUEST MEDICAL CENTER
3025 W CHERRY LN #207

MERIDIAN, ID 83642

#13D1088678
(208) 898-1614 9/1/2020 Physician Office
Waiver
VISION QUEST MEDICAL CENTER PA
1906 FAIRVIEW AVE

CALDWELL, ID 83605

#13D2155004
(208) 377-3937 9/20/2020 Physician Office
Waiver
VISION SOURCE EYE CENTER
110 N 1ST AVE

HAILEY, ID 83333

#13D2106355
(208) 788-4120 12/15/2019 Other Practitioner
Waiver
VISION SOURCE EYE CENTER
180 1ST AVE N

KETCHUM, ID 83340

#13D2106357
(208) 726-3363 12/15/2019 Other Practitioner
Waiver
VISIONS HOME HEALTH
1770 PARK VIEW DR

TWIN FALLS, ID 83301

#13D1040218
(208) 732-5365 5/2/2021 Home Health Agency
Waiver
VISTA HEALTH CARE
556 TREJO ST STE B

REXBURG, ID 83440

#13D2135696
(208) 821-0350 8/24/2021 Other Practitioner
Waiver
VITALANT
1213 21ST STREET

LEWISTON, ID 83501

#13D1034516
(208) 717-0625 11/18/2020 Blood Bank
Waiver
WALMART PHARMACY #10-1878
1450 NORTH 2ND EAST

REXBURG, ID 83440

#13D2149827
(208) 359-2814 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-1900
385 N OVERLAND AVE

BURLEY, ID 83318

#13D2149834
(208) 677-4804 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-1902
1201 S 25TH E

AMMON, ID 83406

#13D2149840
(208) 522-2866 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-1905
565 JENSEN GROVE DR

BLACKFOOT, ID 83221

#13D2149956
(208) 785-0277 6/13/2020 Pharmacy
Waiver
WALMART PHARMACY #10-2508
8300 W OVERLAND RD

BOISE, ID 83709

#13D2149844
(208) 321-9080 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-2782
2745 AMERICAN LEGION BLVD

MOUNTAIN HOME, ID 83647

#13D2149848
(208) 587-0861 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-2831
2680 S LINCOLN AVE

JEROME, ID 83338

#13D2150900
(208) 324-4700 7/5/2020 Pharmacy
Waiver
WALMART PHARMACY #10-2861
7319 W STATE ST

BOISE, ID 83714

#13D2149854
(208) 853-4780 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-3094
3233 N COLE RD

BOISE, ID 83704

#13D2149856
(208) 501-7032 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-3472
3050 E MULLAN AVE

POST FALLS, ID 83854

#13D2150372
(208) 777-4502 6/21/2020 Pharmacy
Waiver
WALMART PHARMACY #10-3897
252 CHENEY DR W

TWIN FALLS, ID 83301

#13D2149863
(208) 736-3387 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-4180
175 S MIDDLETON RD

NAMPA, ID 83651

#13D2149867
(208) 546-3396 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-4395
6405 W POINTE PARKWAY

POST FALLS, ID 83854

#13D2149865
(208) 777-4214 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY #10-5494
500 S UTAH AVE

IDAHO FALLS, ID 83402

#13D2149866
(208) 528-8703 6/11/2020 Pharmacy
Waiver
WALMART PHARMACY 10-1995
4240 YELLOWSTONE AVE

CHUBBUCK, ID 83202

#13D2136339
(208) 237-5091 9/6/2021 Pharmacy
Waiver
WALMART PHARMACY 10-2485
476999 HIGHWAY 95

PONDERAY, ID 83852

#13D2136341
(208) 265-4490 9/6/2021 Pharmacy
Waiver
WALMART PHARMACY 10-2780
5108 CLEVELAND BLVD

CALDWELL, ID 83607

#13D2136342
(208) 455-0800 9/6/2021 Pharmacy
Waiver
WALMART PHARMACY 10-2781
2100 12TH AVE RD

NAMPA, ID 83686

#13D2136343
(208) 467-5159 9/6/2021 Pharmacy
Waiver
WALMART PHARMACY 10-2862
4051 E FAIRVIEW AVE

MERIDIAN, ID 83642

#13D2136815
(208) 373-0024 9/14/2021 Pharmacy
Waiver
WALMART PHARMACY 10-3093
795 W OVERLAND RD

MERIDIAN, ID 83642

#13D2132325
(208) 917-6905 6/15/2021 Pharmacy
Waiver
WALMART PHARMACY 10-3511
550 W HONEYSUCKLE AVE

HAYDEN, ID 83835

#13D2136344
(208) 209-4081 9/6/2021 Pharmacy
Waiver
WALMART PHARMACY 10-3739
5875 E FRANKLIN RD

NAMPA, ID 83687

#13D2132333
(208) 461-8718 6/15/2021 Pharmacy
Waiver
WALMART PHARMACY 10-4249
583 COMMERCE DR

SMELTERVILLE, ID 83868

#13D2137184
(208) 783-2739 9/20/2021 Pharmacy
Waiver
WALMART PHARMACY 10-4494
622 E USTICK RD

CALDWELL, ID 83605

#13D2117271
(208) 453-2852 8/11/2020 Pharmacy
Waiver
WALMART PHARMACY 10-5841
5001 N TEN MILE RD

MERIDIAN, ID 83646

#13D2132338
(208) 982-3047 6/15/2021 Pharmacy
Waiver
WALMART PHARMACY 10-5869
2470 W PULLMAN RD 2

MOSCOW, ID 83843

#13D2136346
(208) 883-8828 9/6/2021 Pharmacy
Waiver
WASHINGTON COUNTY PARAMEDICS
435 E PARK ST

WEISER, ID 83672

#13D1067955
(208) 414-4257 4/29/2021 Ambulance
Waiver
WEISER CARE OF CASCADIA
331 EAST PARK ST

WEISER, ID 83672

#13D0521436
(208) 549-2416 8/31/2020 Skilled Nursing Facility/Nursing Facility
Compliance
WEISER MEMORIAL HOSPITAL
645 E 5TH ST

WEISER, ID 83672

#13D0521434
(208) 549-0370 2/28/2021 Hospital
PPM
WEISER MEMORIAL HOSPITAL - FAMILY MEDICAL CENTER
360 E LIBERTY ST

WEISER, ID 83672

#13D0521433
(208) 549-1124 9/26/2020 Physician Office
Waiver
WELCOME HOME HEALTHCARE SERVICES LLC
120 E LAKE ST STE 319

SANDPOINT, ID 83864

#13D2122847
(208) 264-7005 12/6/2020 Home Health Agency
PPM
WEST FAMILY MEDICINE
1133 CALL CREEK PL #A

POCATELLO, ID 83201

#13D1047004
(208) 232-1000 10/24/2021 Physician Office
Accreditation
WEST VALLEY MEDICAL CENTER
1717 ARLINGTON AVENUE

CALDWELL, ID 83605

#13D0521243
(208) 455-2792 2/27/2021 Hospital
Waiver
WEST VALLEY MEDICAL COMPLEX
1906 FAIRVIEW AVE STE 140

CALDWELL, ID 83605

#13D2140243
(208) 402-0637 11/15/2021 Ancillary Testing Site
Waiver
WEST VALLEY MEDICAL GROUP
1906 FAIRVIEW AVE #230

CALDWELL, ID 83605

#13D0521216
(208) 459-4667 3/31/2021 Physician Office
PPM
WEST VALLEY MEDICAL GROUP - MIDDLETON CLINIC
381 S MIDDLETON RD #B

MIDDLETON, ID 83644

#13D0900169
(208) 585-6311 12/26/2021 Community Clinic
Waiver
WEST VALLEY MEDICAL GROUP - NAMPA
16459 N MIDLAND BLVD

NAMPA, ID 83687

#13D2008911
(208) 795-5075 6/21/2020 Physician Office
PPM
WEST VALLEY MEDICAL GROUP-PARMA
307 GROVE AVE

PARMA, ID 83660

#13D0521413
(208) 722-5147 11/6/2021 Community Clinic
PPM
WEST VALLEY MEDICAL GROUP-WILDER
124 5TH ST #A

WILDER, ID 83676

#13D0897044
(208) 482-7430 11/7/2021 Community Clinic
PPM
WEST VALLEY OB/GYN
315 E ELM ST #310

CALDWELL, ID 83605

#13D0521221
(208) 454-2035 7/14/2020 Physician Office
Waiver
WHITE CROSS PHARMACY
1319 HIGHWAY 2 #A

SANDPOINT, ID 83864

#13D1045241
(208) 263-9080 9/8/2021 Pharmacy
Waiver
WHITE CROSS PHARMACY
31964 N FIFTH AVE

SPIRIT LAKE, ID 83869

#13D2080861
(208) 623-8485 7/15/2020 Pharmacy
Waiver
WHITE CROSS PHARMACY - PRIEST RIVER
5453 HIGHWAY 2

PRIEST RIVER, ID 83856

#13D1045240
(208) 448-1633 9/8/2021 Pharmacy
Waiver
WILLOW PARK ASSISTED LIVING
2600 N MILWAUKEE AVE

BOISE, ID 83704

#13D0972681
(208) 373-1234 11/26/2020 Other
PPM
WILLOW VALLEY FAMILY MEDICINE
47 N 1ST E

PRESTON, ID 83263

#13D2050268
(208) 852-9355 11/25/2020 Physician Office
Waiver
WIND RIVER PAIN MANAGEMENT
1975 MARTHA AVE #B

IDAHO FALLS, ID 83404

#13D2021838
(208) 522-4598 3/21/2021 Physician Office
PPM
WINDING CREEK MEDICAL ARTS
1139 E WINDING CREEK DRIVE

EAGLE, ID 83616

#13D1056908
(208) 938-8887 7/27/2020 Physician Office
PPM
WISE MEDICAL CLINIC
115 S 15TH AVE

POCATELLO, ID 83201

#13D0666048
(208) 234-0012 4/26/2021 Physician Office
PPM
WOMEN'S HEALTH ASSOCIATES, PLLC
333 N 1ST ST #240

BOISE, ID 83702

#13D0900164
(208) 338-8900 4/17/2021 Physician Office
PPM
WOMEN'S HEALTH CARE
1215 MICHIGAN ST #C

SANDPOINT, ID 83864

#13D1059783
(208) 263-1299 10/5/2020 Other Practitioner
PPM
WOMENS HEALTHCARE ASSOCIATES DBA ROSEMARK
808 PANCHERI DR

IDAHO FALLS, ID 83402

#13D2101850
(208) 557-2900 9/10/2021 Physician Office
PPM
WOMENS HEALTHCARE ASSOCIATES DBA ROSEMARK
3450 POTOMAC

IDAHO FALLS, ID 83404

#13D2101854
(208) 557-2900 9/10/2021 Physician Office
PPM
WOODLANDS FAMILY MEDICINE
30544 HWY 200 #102

PONDERAY, ID 83852

#13D1050770
(208) 263-6300 2/12/2020 Physician Office
Waiver
WYNWOOD AT RIVER PLACE
739 E PARKCENTER BLVD

BOISE, ID 83706

#13D2090211
(208) 338-5600 1/15/2021 Assisted Living Facility
Waiver
YELLOWSTONE DIALYSIS CENTER
1165 SUMMERS DR

REXBURG, ID 83440

#13D1046721
(208) 656-0396 10/16/2021 End Stage Renal Disease Facility
Waiver
ZELUS RECOVERY LLC
1965 S EAGLE RD STE 140

MERIDIAN, ID 83642

#13D2119319
(208) 957-6514 9/22/2020 Independent