Bloom Idaho LLC

NPI #1780291088 in Nampa, Idaho

Provider Information

NPI Number: 1780291088
Entity Type: Organization
Organization Name: Bloom Idaho LLC
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Sep 30, 2020
Last Updated: Apr 25, 2022

Practice Location

Address: 1610 CALDWELL BLVD
City: Nampa
State: Idaho
ZIP Code: 83651-1728
Phone: (208) 207-8500

Authorized Official

Name: SPENCER SMITH
Title: CEO
Phone: (208) 207-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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