Organization · Type 2 NPI

City of Blackfoot

Point of Service · Blackfoot, ID

NPI number 1063839124 Active

Practice location

960 S Fisher Ave
Blackfoot, ID 83221-3370

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

About NPI 1063839124

City of Blackfoot's National Provider Identifier is 1063839124, issued on Mar 26, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Blackfoot, ID. The record was last updated on Mar 26, 2014.