BLOOM IDAHO LLC NPI 1679134126

NPI Information

  • NPI: 1679134126
  • Provider Name: BLOOM IDAHO LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: AFC URGENT CARE
  • CLIA Number: 06D2262290
  • Address: 6965 N GLENWOOD ST
    GARDEN CITY, ID
    ZIP 83714
  • Phone: (208) 853-3000

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NPI Details

BLOOM IDAHO LLC is a multi-specialty clinic center in Garden City, ID. BLOOM IDAHO LLC NPI is 1679134126. 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:

6965 N GLENWOOD ST
GARDEN CITY, ID
ZIP 83714-967
Phone: (208) 853-3000

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 06D2262290 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2019 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 CareNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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

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