Bloom Idaho LLC

NPI #1841934866 in Boise, Idaho

Provider Information

NPI Number
1841934866
Entity Type
Organization
Organization Name
Bloom Idaho LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Apr 26, 2022
Last Updated
Jan 4, 2023

Practice Location

Address
10965 W OVERLAND ROAD
City
Boise
State
Idaho
ZIP Code
83709
Phone
(208) 900-9901

Authorized Official

Name
SPENCER SMITH
Title
CEO
Phone
(208) 853-3000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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