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City of Blackfoot — NPI 1063839124, Blackfoot, ID | NPI Central

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NPI 1063839124

OrganizationActive

City of Blackfoot

NPI 1063839124 · Point of Service · Blackfoot, ID

Provider details

NPI number: 1063839124
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Chantel Bame, Pool Manager(208) 785-8625

Specialties & taxonomies

Point of ServicePrimary305S00000X
Managed Care Organizations

Practice location

960 S Fisher Ave

Blackfoot, ID 83221-3370

Phone: (208) 785-8625

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

960 S Fisher Ave

Blackfoot, ID 83221-3370

Registry dates

Enumerated: 2014-03-26
Last updated: 2014-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.