Blackfoot Medical Clinic, Inc
Blackfoot Medical Clinic, Inc provides Family Medicine Physician services in Shelley, 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.
Practice location Address checks out
210 S Emerson StShelley, ID 83274 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 357-7404
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1366542391 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sheila Tibbitts — Administrator · (208) 785-2600 |
| Other names | Shelley Family Medical |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | August 15, 2012 |
| Mailing address | 210 S Emerson St, Shelley, ID 83274 |