Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blackfoot Medical Clinic, Inc

Organization Family Medicine Physician · NPI 1235160441

Blackfoot Medical Clinic, Inc provides Family Medicine Physician services in Blackfoot, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1441 Parkway Dr
Blackfoot, ID 83221-1667 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 785-2600
Fax: (208) 785-8185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1235160441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty Miller — Business Office Manager · (208) 785-2600
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 19, 2012
Mailing address1441 Parkway Dr, Blackfoot, ID 83221-1667

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