Make a Payment

Make a payment conveniently through our online form.

Use form below, or contact the Pediatric Center Billing Department at 208-523-6212 – available Monday through Friday, 8am-3pm.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

Account Number(Required)

Payment Amount(Required)

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Comments

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