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Family Medicine

FUNCTIONAL MEDICINE OF IDAHO PC

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 Plan acceptance stays unpublished until the practice reports it.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 1336656040 · enumerated 2018-01-03 · record updated 2018-01-03. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: SAMUEL WARREN, President · (208) 385-7711

Addresses and phones

Mailing address 3858 N GARDEN CENTER WAY STE 100, BOISE, ID, 83703-5008 (208) 385-7711 Fax (208) 385-0346 Google Maps Apple Maps OpenStreetMap
Practice location 3858 N GARDEN CENTER WAY STE 100, BOISE, ID, 83703-5008 (208) 385-7711 Fax (208) 385-0346 Google Maps Apple Maps OpenStreetMap

Specialties

Family Medicine 207Q00000X · Primary

In this directory

ID Ada County Boise Family Medicine

Locations and evidence

Practice location BOISE, ID, 837035008
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.