| NPI | 1649699174 |
|---|---|
| Doing Business As | BLACKFOOT MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NED HILLYARD Chief Compliance Officer 208-557-2711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 261QU0200X Clinic/Center Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2016-04-21 |