Healthcare Provider Details

I. General information

NPI: 1770404022
Provider Name (Legal Business Name): ALTURA GLOBAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5164 W BLASER LN # 5164
BOISE ID
83705-1970
US

IV. Provider business mailing address

623 EMERALD
RUPERT ID
83350-5078
US

V. Phone/Fax

Practice location:
  • Phone: 986-999-3665
  • Fax:
Mailing address:
  • Phone: 986-999-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: EDUARDO FRANCISCO RODRIGUEZ
Title or Position: MEDICAL INTERPRETER
Credential:
Phone: 986-999-3665