| Blackfoot Medical Center | |
|
1441 Parkway Dr Blackfoot ID 83221-1667 | |
| (208) 785-2600 | |
| Not Available |
| Full Name | Blackfoot Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1441 Parkway Dr, Blackfoot, Idaho |
| Authorized Official Name and Position | Ned Hillyard (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 2085572711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackfoot Medical Center 1441 Parkway Dr Blackfoot ID 83221-1667 Ph: (208) 785-2600 | Blackfoot Medical Center 1441 Parkway Dr Blackfoot ID 83221-1667 Ph: (208) 785-2600 |
| NPI Number | 1467816579 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/15/2016 |
| Medicare PECOS PAC ID | 2961791991 |
|---|---|
| Medicare Enrollment ID | O20160616001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467816579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Idaho Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3800 | |
Blackfoot Medical Clinic Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Blackfoot Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-8185 | |
Intercept Systems, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 N 700 W, Blackfoot, ID 83221 Phone: 208-201-0795 | |
Peak Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 Parkway Dr Ste C, Blackfoot, ID 83221 Phone: 208-643-4231 Fax: 208-643-4235 | |
Cedar Creek Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-782-3700 | |
Community Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1491 Parkway Dr, Blackfoot, ID 83221 Phone: 208-782-0500 Fax: 844-328-7224 |