Blackfoot Medical Clinic, Inc

LBN: Blackfoot Medical Clinic, Inc
Blackfoot Medical Clinic, Inc is an health care organization with primary practice located at 1441 Parkway Dr , Blackfoot ID 83221-1667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blackfoot Medical Clinic, Inc can be contacted via phone (208) 785-2600, or through Miller, Betty via phone (208) 785-2600.

Contact Information

Primary practice address
1441 Parkway Dr Blackfoot ID 83221-1667
Phone: (208) 785-2600
Fax: (208) 785-8185
Website:
Map and Directions
Authorized official contact:
Name: Miller, Betty
Phone: (208) 785-2600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1235160441
LBN Legal business name Blackfoot Medical Clinic, Inc
DBA Doing business as
Authorized official Miller, Betty
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235160441 NPPES
Idaho MEDICAID 002333900

Popular Providers