Blackfoot Medical Clinic Rhc

LBN: Blackfoot Medical Clinic Rhc
Blackfoot Medical Clinic Rhc 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 Rhc can be contacted via phone (208) 785-2600, or through Tibbitts, Sheila via phone (208) 785-2600.

Contact Information

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

Health care specialties

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

Profile Details

NPI number 1124283254
LBN Legal business name Blackfoot Medical Clinic Rhc
DBA Doing business as
Authorized official Tibbitts, Sheila
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 31st, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124283254 NPPES
Idaho MEDICAID 002333900

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