OrganizationActive
Blackfoot Medical Clinic Inc
NPI 1699963397 · Clinical Medical Laboratory · Blackfoot, ID
Blackfoot Medical Clinic Inc is a Clinical Medical Laboratory organization in Blackfoot, ID (NPI 1699963397).
Provider details
- NPI number
- 1699963397
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Sheila Tibbits, Administration(208) 785-2600
- License
- P003 (ID)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1441 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 785-2600
Street-level locationGet directions
Mailing address
1441 Parkway Dr
Blackfoot, ID 83221-1667
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2008-02-01
Frequently asked questions
- What is Blackfoot Medical Clinic Inc's NPI number?
- Blackfoot Medical Clinic Inc's National Provider Identifier (NPI) is 1699963397, 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 Clinical Medical Laboratory (Laboratories).
- Where is Blackfoot Medical Clinic Inc located?
- Blackfoot Medical Clinic Inc's practice location on file with NPPES is 1441 Parkway Dr, Blackfoot, ID 83221-1667.
- 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) 785-2600.
- Who is the authorized official for Blackfoot Medical Clinic Inc?
- The authorized official listed on Blackfoot Medical Clinic Inc's NPPES record is Sheila Tibbits, Administration. 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 (1699963397) is active in the NPPES registry as of the last update on 2008-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.