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Active NPI 1841474418 Organization (Entity Type 2)

Boost Collaborative

Voluntary or Charitable • Pullman, WA

About Boost Collaborative NPI 1841474418 Summary

Boost Collaborative is a verified healthcare organization specializing in Voluntary or Charitable operating in Pullman, WA. Located at 115 NW STATE STREET, SUITE 106, this facility provides patient care and medical services under National Provider Identifier (NPI) 1841474418.

Administrative operations and authorized compliance are overseen by Eric Hoyle (Executive Director).

Facility Location & Contact Primary Location

Facility Address

115 Nw State Street
Suite 106

Pullman, WA 991632616

Telephone 5093324420

Fax 5093392399

Authorized Official Information

Authorized Contact Name

MR. Eric Hoyle

Title / Role

Executive Director

Official Telephone

5093326561

Facility Classifications & Specialties

Voluntary or Charitable Primary Taxonomy

NUCC Taxonomy Code: 251V00000X

Definition to come...

Voluntary or Charitable

NUCC Taxonomy Code: 251V00000X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2014

Registered at 115 NW STATE STREET, SUITE 106, PULLMAN, WA 991632616 (Tel: 5093324420)

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Updated Business Mailing Address July 23, 2014

Registered at 1235 SE PROFESSIONAL MALL BOULEVARD, PULLMAN, WA 991635437 (Tel: 5093326561)

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Organization / Clinic Name Updated July 23, 2014

Operating as BOOST COLLABORATIVE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Voluntary or Charitable (License #600 082 939 in WA)

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Initial NPI Registration & Enumeration December 19, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1841474418

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: December 19, 2007

Last Update: July 23, 2014

Update or Correct Listing

Mailing Address

1235 Se Professional Mall Boulevard

Pullman, WA 991635437

Phone: 5093326561

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.