BLACKFOOT MEDICAL CLINIC, INC
NPI 1235160441
Family Medicine in Blackfoot, ID

Q: What is Blackfoot Medical Clinic, Inc's NPI number?

The NPI number for Blackfoot Medical Clinic, Inc is 1235160441. It was assigned to this organization in the NPPES registry on July 5, 2006.

Q: What is Blackfoot Medical Clinic, Inc's specialty?

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

Active since July 05, 2006

1441 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-2600(208) 785-8185 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blackfoot Medical Clinic, Inc NPPES

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

BLACKFOOT MEDICAL CLINIC, INC (NPI 1235160441) is a healthcare organization registered as a family medicine in Blackfoot, Idaho and active in the NPI registry since July 2006. The organization lists Betty Miller, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235160441

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBLACKFOOT MEDICAL CLINIC, INC

Location Address1441 PARKWAY DRBlackfoot, ID 83221-1667

Mailing Address1441 Parkway DrBlackfoot, ID 83221-1667 · (208) 785-2600 · Fax (208) 785-8185

Phone(208) 785-2600

Fax(208) 785-8185

Organization SubpartNo

Authorized OfficialBetty MillerBusiness Office Manager · (208) 785-2600

Enumeration DateJuly 5, 2006

Last NPPES UpdateJuly 19, 2012

✔ NPI 1235160441 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 5

Medicare PIN1374715ID

Medicare PIN1374716ID

Medicare OSCAR/certification133831ID

Medicare NSC0363970001ID

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