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BLACKFOOT MEDICAL CLINIC RHC
NPI 1124283254
Family Medicine in Blackfoot, ID

Active since July 29, 2008
1441 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-2600 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blackfoot Medical Clinic Rhc NPPES

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

BLACKFOOT MEDICAL CLINIC RHC (NPI 1124283254) is a healthcare organization registered as a family medicine in Blackfoot, Idaho and active in the NPI registry since July 2008. The organization lists Sheila Tibbitts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124283254
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACKFOOT MEDICAL CLINIC RHC
Location Address1441 PARKWAY DRBlackfoot, ID 83221-1667
Mailing Address1441 Parkway DrBlackfoot, ID 83221-1667 · (208) 785-2600
Phone(208) 785-2600
Organization SubpartNo
Authorized OfficialSheila TibbittsAdministrator · (208) 785-2600
Enumeration DateJuly 29, 2008
Last NPPES UpdateJuly 31, 2008
✔ NPI 1124283254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1441 PARKWAY DR, Blackfoot, ID 83221
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Other Identifiers 1

Medicaid002333900ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SHAWNA MARIE REYNOLDS PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
HEATHER FAYE GRIMMETT PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
JULENE M PARSON
Pediatrics
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
DEBRA ERRAMOUSPE PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
DANIELLE E BANGERTER FNP-C
Nurse Practitioner (Family)
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2500
BRIAN DON BOEHME
Physical Therapist
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
RHONDA GRANDEE PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
MATTHEW J FACKRELL DO
Family Medicine
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600

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 Blackfoot Medical Clinic Rhc's NPI number?

The NPI number for Blackfoot Medical Clinic Rhc is 1124283254. It was assigned to this organization in the NPPES registry on July 29, 2008.

Where is Blackfoot Medical Clinic Rhc located?

Blackfoot Medical Clinic Rhc is located at 1441 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-2600.

What is Blackfoot Medical Clinic Rhc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blackfoot Medical Clinic Rhc was last updated on July 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.