Family Medicine
CENTER FOR LIFETIME HEALTH
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1689744963 · enumerated 2006-11-08 · record updated 2023-07-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: COLLEEN SHACKELFORD DNP, Owner · (208) 342-7400
Other names: COLLEEN SHACKELFORD, LLC
Addresses and phones
- Mailing address 300 E BANNOCK ST, BOISE, ID, 83712 (208) 342-7400 Fax (208) 342-1879 Google Maps Apple Maps OpenStreetMap
- Practice location 300 E BANNOCK ST, BOISE, ID, 83712 (208) 342-7400 Fax (208) 342-1879 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License M5741 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 83712
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.