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CLOVER CREEK MEDICAL
NPI 1073031118
Clinic/Center - Primary Care in Bloomington, ID

Active since September 08, 2017
175 NORTH MAIN STREET, BLOOMINGTON, ID 83223(801) 362-0157(801) 362-0157 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Clover Creek Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVER CREEK MEDICAL (NPI 1073031118) is a healthcare organization registered as a primary care in Bloomington, Idaho and active in the NPI registry since September 2017. The organization lists Brittany Strong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073031118
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLOVER CREEK MEDICAL
Location Address175 NORTH MAIN STREETBloomington, ID 83223-8322
Mailing AddressPo Box 208Bloomington, ID 83223-0208 · (801) 362-0157
Phone(801) 362-0157
Fax(801) 362-0157
Organization SubpartNo
Authorized OfficialBrittany StrongCeo · (801) 362-0157
Enumeration DateSeptember 8, 2017
✔ NPI 1073031118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
175 NORTH MAIN STREET, Bloomington, ID 83223
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clover Creek Medical's NPI number?

The NPI number for Clover Creek Medical is 1073031118. It was assigned to this organization in the NPPES registry on September 8, 2017.

Where is Clover Creek Medical located?

Clover Creek Medical is located at 175 North Main Street, Bloomington, ID 83223. The listed phone number is (801) 362-0157.

What is Clover Creek Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Clover Creek Medical was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.