BLOOM IDAHO LLC NPI 1104401488

NPI Information

  • NPI: 1104401488
  • Provider Name: BLOOM IDAHO LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: AFC URGENT CARE
  • CLIA Number: 13D2228502
  • Address: 3185 E USTICK RD
    MERIDIAN, ID
    ZIP 83646
  • Phone: (208) 296-7100

Map and Directions

Get Directions

NPI Details

BLOOM IDAHO LLC is an urgent care clinic center in Meridian, ID. BLOOM IDAHO LLC NPI is 1104401488. The provider is registered as an organization entity type.
The provider Is Doing Business As Afc Urgent Care.

The provider's business location address is:

3185 E USTICK RD
MERIDIAN, ID
ZIP 83646
Phone: (208) 296-7100

The provider's authorized official is Spencer Smith .
The authorized official title is Ceo and has the following contact phone number (208) 853-3000.

The CLIA number assigned to this NPI record is 13D2228502 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/17/2021 and was last updated on 5/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI