Provider Demographics
NPI:1093202095
Name:INTERNATIONAL RESCUE COMMITTEE, INC.
Entity type:Organization
Organization Name:INTERNATIONAL RESCUE COMMITTEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXTENDED SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MYJA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-861-1050
Mailing Address - Street 1:7291 W FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-0926
Mailing Address - Country:US
Mailing Address - Phone:208-344-1792
Mailing Address - Fax:
Practice Address - Street 1:7291 W FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-0926
Practice Address - Country:US
Practice Address - Phone:208-344-1792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)