BLACKFOOT MEDICAL CLINIC, INC – NPI #1366542391
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

BLACKFOOT MEDICAL CLINIC, INC is a provider located in SHELLEY, ID. NPPES has assigned the NPI number 1366542391 to BLACKFOOT MEDICAL CLINIC, INC on September 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BLACKFOOT MEDICAL CLINIC, INC is also known by the name SHELLEY FAMILY MEDICAL. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Aug 15, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKFOOT MEDICAL CLINIC, INC below.

NPI Profile for
BLACKFOOT MEDICAL CLINIC, INC

NPI Number
1366542391
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACKFOOT MEDICAL CLINIC, INC
Other Name: SHELLEY FAMILY MEDICAL
Primary location
210 S EMERSON ST
SHELLEY, ID 83274
Phone: (208) 357-7404 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHEILA TIBBITTS
ADMINISTRATOR
Phone: (208) 785-2600
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.