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BLACKFOOT MEDICAL CLINIC MENTAL HEALTH
NPI 1265635205
Counselor - Professional in Blackfoot, ID

Active since June 07, 2007
1441 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-2600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackfoot Medical Clinic Mental Health NPPES

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

BLACKFOOT MEDICAL CLINIC MENTAL HEALTH (NPI 1265635205) is a healthcare organization registered as a professional in Blackfoot, Idaho and active in the NPI registry since June 2007. The organization lists Betty Miller, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265635205
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLACKFOOT MEDICAL CLINIC MENTAL HEALTH
Location Address1441 PARKWAY DRBlackfoot, ID 83221-1667
Mailing Address1441 Parkway DrBlackfoot, ID 83221-1667 · (208) 785-2600
Phone(208) 785-2600
Organization SubpartNo
Authorized OfficialBetty MillerBusiness Office Manager · (208) 785-2600
Enumeration DateJune 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265635205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1441 PARKWAY DR, Blackfoot, ID 83221
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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
BLACKFOOT MEDICAL CLINIC RHC
Family Medicine
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

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 Mental Health's NPI number?

The NPI number for Blackfoot Medical Clinic Mental Health is 1265635205. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Blackfoot Medical Clinic Mental Health located?

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

What is Blackfoot Medical Clinic Mental Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Blackfoot Medical Clinic Mental Health 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.