NPI 1063839124

City of Blackfoot

Organisation Point of Service Blackfoot, ID

Practice location

Address: 960 S Fisher Ave, Blackfoot, ID 83221-3370
Phone: (208) 785-8625

Authorised official

Name: Chantel Bame
Title: Pool Manager
Phone: (208) 785-8625

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Idaho →

Registry record

NPI: 1063839124
Entity type: Organization
NPI issued: 26 Mar 2014
Record last updated: 26 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.