OrganizationActive
Intercept Systems, PLLC
NPI 1275707630 · Primary Care Clinic/Center · Blackfoot, ID
Provider details
- NPI number
- 1275707630
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ralph Heckard, Manager(208) 201-0795
- License
- M4388 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
140 N 700 W
Blackfoot, ID 83221-5311
Phone: (208) 201-0795
Approximate (ZIP-level) locationGet directions
Mailing address
140 N 700 W
Blackfoot, ID 83221-5311
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.