IDAHO PHYSICIANS CLINIC
NPI 1114907532
Clinic/Center - Rural Health in Blackfoot, ID
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 13D0994767
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-14-2027
About IDAHO PHYSICIANS CLINIC
This page provides the complete NPI Profile along with additional information for Idaho Physicians Clinic, a primary care provider established in Blackfoot, Idaho operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1114907532 assigned on January 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 36 (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Louis Kraml (Ceo)
- NPI
- 1114907532 Verify this NPI
- Provider Name
- IDAHO PHYSICIANS CLINIC
- Entity Type
- Organization
- Location Address
- 98 POPLAR ST BLACKFOOT, ID 83221
- Location Phone
- (208) 785-3800
- Mailing Address
- 98 POPLAR ST BLACKFOOT, ID 83221
- Mailing Phone
- (208) 785-3800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-20-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Idaho Physicians Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 36
- License State
- ID
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000010137702 | OTHER (01) | ID | BLUE SHIELD PROVIDER # |
| 8F496 | OTHER (01) | ID | BLUE CROSS PROVIDER # |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0994767
- Facility Type
- Physician Office
- Certificate Effective Date
- January 15, 2025
- Certificate Expiration Date
- January 14, 2027
- Laboratory Director
- THOMAS CALL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Idaho Physicians Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLACKFOOT, ID 83221
BLACKFOOT, ID 83221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114907532, enumerated as an "organization" on January 20, 2006.
The provider is located at 98 POPLAR ST BLACKFOOT, ID 83221 and the phone number is (208) 785-3800.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
