Organization · Type 2 NPI
State of Idaho Department of Health and Welfare
Clinic/Center · Blackfoot, ID
NPI number
1538225545
Active
Practice location
700 E. Alice, Box 400
Blackfoot, ID 83221-0400
Fax (208) 785-8518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 17 (ID) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Blackfoot
About NPI 1538225545
State of Idaho Department of Health and Welfare's National Provider Identifier is 1538225545, issued on Dec 28, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Blackfoot, ID. The record was last updated on Jul 15, 2016.