NPI age
17 years
Enumerated 2008-07-29
● Active Type 2 · Organization
Blackfoot Medical Clinic Rhc
Blackfoot Medical Clinic Rhc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tibbitts
Administrator
Last NPPES update
2008-07-31
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1441 Parkway Dr
Blackfoot, ID 832211667
Mailing address
1441 Parkway Dr
Blackfoot, ID 832211667
Authorized official
Sheila Tibbitts
Administrator
📞 2087852600
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jason Bailey, PHARM.D Pharmacist NPI 1730171356
- Nicole Bair, DPT Physical Therapist NPI 1467942144
- Danielle Bangerter, FNP-C Nurse Practitioner NPI 1164204368
- Max Barney Nurse Practitioner NPI 1720448590
- Paul Beckett, DO Family Medicine NPI 1831115757
- Ryan Bichsel Nurse Practitioner NPI 1699576835
- Brian Boehme Physical Therapist NPI 1164445086
- Steven Clinger, MD Family Medicine NPI 1790722841
- Gordon Dixon, DO Family Medicine NPI 1578518395
- Sadie Ellis, DPT Physical Therapist NPI 1326285560
- Debra Erramouspe, PA Physician Assistant NPI 1144264532
- Matthew Fackrell, DO Family Medicine NPI 1215968045
- Douglas Gilbert, NP Nurse Practitioner NPI 1285661033
- Rhonda Grandee, PA Physician Assistant NPI 1184668139
- Guss Grimmett, NP Nurse Practitioner NPI 1881620730
- Heather Grimmett, PA Physician Assistant NPI 1073792586
- George Hales, MD Family Medicine NPI 1356665087
- Francis Johansen, D.O. Internal Medicine NPI 1447253968
- Andrew McAbery, PT Physical Therapist NPI 1932365418
- Kirt McKinlay, MD Family Medicine NPI 1902843089
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002333900 |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.