Healthcare Provider Details

I. General information

NPI: 1821059528
Provider Name (Legal Business Name): BCS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5418 N EAGLE RD SUITE 180
BOISE ID
83713
US

IV. Provider business mailing address

5418 N EAGLE RD SUITE 180
BOISE ID
83713
US

V. Phone/Fax

Practice location:
  • Phone: 208-938-3837
  • Fax: 208-938-3857
Mailing address:
  • Phone: 208-938-3837
  • Fax: 208-938-3857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY JOSEPH SALKAS
Title or Position: VICE PRESIDENT
Credential: LCSW
Phone: 208-938-3837