Broulim Supermarkets, LLC
NPI 1366275638 · Health Service Clinic/Center · Rigby, ID
Broulim Supermarkets, LLC is a Health Service Clinic/Center organization in Rigby, ID (NPI 1366275638).
Provider details
- NPI number
- 1366275638
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcus Hurst, Pharmacy Director(208) 745-9201
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
14 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (13)
- 118400 US Highway 26/89Alpine, ID 83128Phone: (307) 887-7781Fax: (307) 654-6338
- 2730 E Sunnyside RdAmmon, ID 83406-7547Phone: (208) 522-3257Fax: (208) 522-3227
- 3160 E 17th St Ste 164Ammon, ID 83406-6784Phone: (208) 529-1795Fax: (208) 529-1838
- 240 S Main StDriggs, ID 83422-5401Phone: (208) 643-3159Fax: (208) 643-7631
- 1855 W Broadway StIdaho Falls, ID 83402-3043Phone: (208) 529-3638Fax: (208) 523-0222
- 130 S 4th StMontpelier, ID 83254-1538Phone: (208) 847-0806Fax: (208) 847-0841
- 124 W Main StRexburg, ID 83440-1827Phone: (208) 356-5416Fax: (208) 356-5653
- 150 N State StRigby, ID 83442-1443Phone: (208) 745-0267Fax: (208) 745-0208
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is Broulim Supermarkets, LLC's NPI number?
- Broulim Supermarkets, LLC's National Provider Identifier (NPI) is 1366275638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broulim Supermarkets, LLC?
- Broulim Supermarkets, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Broulim Supermarkets, LLC located?
- Broulim Supermarkets, LLC's practice location on file with NPPES is 160 S Clark St, Rigby, ID 83442-1407.
- What is Broulim Supermarkets, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broulim Supermarkets, LLC is (208) 745-9201.
- Who is the authorized official for Broulim Supermarkets, LLC?
- The authorized official listed on Broulim Supermarkets, LLC's NPPES record is Marcus Hurst, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broulim Supermarkets, LLC's NPI active?
- Yes — Broulim Supermarkets, LLC's NPI (1366275638) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.