BLACKFOOT MEDICAL CLINIC, INC
NPI 1275633208
Family Medicine in Firth, ID

Active since September 22, 2006
114 S MAIN ST, FIRTH, ID 83236(208) 346-6614 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blackfoot Medical Clinic, Inc NPPES

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

BLACKFOOT MEDICAL CLINIC, INC (NPI 1275633208) is a healthcare organization registered as a family medicine in Firth, Idaho and active in the NPI registry since September 2006. The organization lists Sheila Tibbitts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275633208
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACKFOOT MEDICAL CLINIC, INC
Location Address114 S MAIN STFirth, ID 83236
Mailing Address114 S Main StFirth, ID 83236
Organization SubpartNo
Authorized OfficialSheila TibbittsAdministrator · (208) 785-2600
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJune 5, 2008
NPI 1275633208 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.
114 S MAIN ST, Firth, ID 83236

Other Identifiers 3

Medicare PIN1374716ID
Medicaid806884200ID
Medicare PIN1374715ID

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 5

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

Nurse Practitioner (Family)
114 S MAIN ST
FIRTH, ID 83236
Nurse Practitioner (Family)
114 S MAIN ST
FIRTH, ID 83236
Nurse Practitioner (Family)
114 S MAIN ST
FIRTH, ID 83236
Nurse Practitioner (Family)
114 S MAIN ST
FIRTH, ID 83236
Nurse Practitioner (Family)
114 S MAIN ST
FIRTH, ID 83236

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, Inc's NPI number?

The NPI number for Blackfoot Medical Clinic, Inc is 1275633208. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Blackfoot Medical Clinic, Inc located?

Blackfoot Medical Clinic, Inc is located at 114 S Main St, Firth, ID 83236. The listed phone number is (208) 346-6614.

What is Blackfoot Medical Clinic, Inc'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, Inc was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.