Organization · Type 2 NPI
Bloom Idaho LLC
Multi-Specialty Clinic/Center · Garden City, ID
NPI number
1679134126
Active
Practice location
6965 N Glenwood St
Garden City, ID 83714-1967
Mailing address
50 Henry St
Cortez, CO 81321-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
Other multi-specialty clinic/center providers in Garden City
About NPI 1679134126
Bloom Idaho LLC's National Provider Identifier is 1679134126, issued on Jun 25, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Garden City, ID. The record was last updated on May 2, 2022.