BLACKFOOT MEDICAL CLINIC INC
NPI 1699963397
Clinical Medical Laboratory in Blackfoot, ID

Active since October 09, 2007
1441 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-2600 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 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 1699963397) is a healthcare organization registered as a clinical medical laboratory in Blackfoot, Idaho and active in the NPI registry since October 2007. The organization lists Sheila Tibbits, Administration, as its authorized official.

NPPES Registry Identity

NPI1699963397
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBLACKFOOT MEDICAL CLINIC INC
Location Address1441 PARKWAY DRBlackfoot, ID 83221-1667
Mailing Address1441 Parkway DrBlackfoot, ID 83221-1667 · (208) 785-2600
Organization SubpartNo
Authorized OfficialSheila TibbitsAdministration · (208) 785-2600
Enumeration DateOctober 9, 2007
Last NPPES UpdateFebruary 1, 2008
NPI 1699963397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in ID · P003
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1441 PARKWAY DR, Blackfoot, ID 83221

Other Identifiers 1

Medicare PIN1400583ID

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.

Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Pediatrics
1441 PARKWAY DR
BLACKFOOT, ID 83221
Family Medicine
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physical Therapist
1441 PARKWAY DR
BLACKFOOT, ID 83221
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221

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 1699963397. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Blackfoot Medical Clinic Inc located?

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

What is Blackfoot Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Blackfoot Medical Clinic Inc was last updated on February 1, 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.