| Idaho Physicians Clinic | |
|
98 Poplar St Blackfoot ID 83221-1758 | |
| (208) 785-3800 | |
| Not Available |
| Full Name | Idaho Physicians Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 98 Poplar St, Blackfoot, Idaho |
| Authorized Official Name and Position | Louis Kraml (CEO) |
| Authorized Official Contact | 2087853804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Physicians Clinic 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-3800 | Idaho Physicians Clinic 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-3800 |
| NPI Number | 1114907532 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114907532 | NPI | - | NPPES |
| 8F496 | Other | ID | BLUE CROSS PROVIDER # |
| 000010137702 | Other | ID | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 36 (Idaho) | Primary |
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 | |
Bmh, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-782-3700 | |
Community Council Of Idaho, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1491 Parkway Dr, Blackfoot, ID 83221 Phone: 208-782-0500 Fax: 844-328-7224 |