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IDAHO PHYSICIANS CLINIC
NPI 1114907532
Clinic/Center - Rural Health in Blackfoot, ID

Active since January 20, 2006CLIA 13D0994767 · Microscopy
98 POPLAR ST, BLACKFOOT, ID 83221(208) 785-3800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Physicians Clinic NPPES

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

IDAHO PHYSICIANS CLINIC (NPI 1114907532) is a healthcare organization registered as a rural health in Blackfoot, Idaho and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through January 14, 2027 and lists Louis Kraml, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114907532
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIDAHO PHYSICIANS CLINIC
Location Address98 POPLAR STBlackfoot, ID 83221-1758
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 785-3800
Phone(208) 785-3800
Organization SubpartNo
Authorized OfficialLouis KramlCeo · (208) 785-3804
Enumeration DateJanuary 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114907532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in ID · 36
98 POPLAR ST, Blackfoot, ID 83221
Open in Google Maps ↗

Other Identifiers 2

Other000010137702ID · Blue Shield Provider #
Other8F496ID · Blue Cross Provider #

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0994767

Idaho Physicians Clinic · Blackfoot, ID
Active · expires Jan 14, 2027
CLIA Number13D0994767
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorThomas Call
Laboratory Phone(208) 785-3800
Laboratory LocationIdaho Physicians Clinic98 Poplar St, Blackfoot, ID 83221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEVERLY HANSON PA
Physician Assistant (Surgical)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 782-3993
DAN EARL ROBINSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 690-0394
AMANDA WRAY RPH
Pharmacist
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 782-2990
SAMANTHA HRABIK FNP-C
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 251-2408
DR. JASON CHRISTOPHER BELL D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-5801
ABBY JAN WILSON FNP-BC, RD, CDCES
Nurse Practitioner (Family)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100
MS. SUZANNE GODFREY LCPC, NCC
Counselor
98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221
Bingham County (208) 785-3800
SCOTT RYAN MANGUM PA-C
Physician Assistant (Medical)
98 POPLAR ST
BLACKFOOT, ID 83221
Bingham County (208) 785-4100

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 Idaho Physicians Clinic's NPI number?

The NPI number for Idaho Physicians Clinic is 1114907532. It was assigned to this organization in the NPPES registry on January 20, 2006.

Where is Idaho Physicians Clinic located?

Idaho Physicians Clinic is located at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-3800.

What is Idaho Physicians Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Idaho Physicians Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0994767) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Physicians Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.