Bloom Idaho LLC
NPI #1679134126 in Garden City, Idaho
Provider Information
- NPI Number
- 1679134126
- Entity Type
- Organization
- Organization Name
- Bloom Idaho LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 25, 2019
- Last Updated
- May 2, 2022
Practice Location
- Address
- 6965 N GLENWOOD ST
- City
- Garden City
- State
- Idaho
- ZIP Code
- 83714-1967
- Phone
- (208) 853-3000
Authorized Official
- Name
- SPENCER SMITH
- Title
- CEO
- Phone
- (208) 853-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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