Blackfoot Medical Clinic, Inc
NPI 1366542391 · Family Medicine Physician · Shelley, ID
Blackfoot Medical Clinic, Inc is a Family Medicine Physician organization in Shelley, ID (NPI 1366542391).
Provider details
- NPI number
- 1366542391
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sheila Tibbitts, Administrator(208) 785-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Other name
- Shelley Family Medical
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2012-08-15
Frequently asked questions
- What is Blackfoot Medical Clinic, Inc's NPI number?
- Blackfoot Medical Clinic, Inc's National Provider Identifier (NPI) is 1366542391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackfoot Medical Clinic, Inc?
- Blackfoot Medical Clinic, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blackfoot Medical Clinic, Inc located?
- Blackfoot Medical Clinic, Inc's practice location on file with NPPES is 210 S Emerson St, Shelley, ID 83274.
- What is Blackfoot Medical Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Blackfoot Medical Clinic, Inc is (208) 357-7404.
- Who is the authorized official for Blackfoot Medical Clinic, Inc?
- The authorized official listed on Blackfoot Medical Clinic, Inc's NPPES record is Sheila Tibbitts, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackfoot Medical Clinic, Inc's NPI active?
- Yes — Blackfoot Medical Clinic, Inc's NPI (1366542391) is active in the NPPES registry as of the last update on 2012-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.