P Praxis·MD
● Active Type 2 · Organization

Bloom Idaho Llc

Clinic/Center·Garden City, ID· NPI 1679134126 · Enumerated 2019 · 6 years on NPI
Bloom Idaho Llc is 1 of 61 clinic/center organizations in Idaho.
NPI age
6 years
Enumerated 2019-06-25
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Ceo
Last NPPES update
2022-05-02
Source: monthly bulk 2026-05

How this organization compares

Across 61 active clinic/center providers in Idaho.

NPI age
6 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 52% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
6965 N Glenwood St
Garden City, ID 837141967
📞 2088533000
Mailing address
50 Henry St
Cortez, CO 813213012

Authorized official

Spencer Smith
Ceo
📞 2088533000

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM1300X
  • Clinic/Center
    Definition to come...
    taxonomy 261QU0200X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • AFC Urgent Care
    Type code 3 recorded 2022-05-02
  • AFC Urgent Care
    Type code 3 recorded 2019-06-25

Practice context

Single-site organization. Only one practice location on file.

Provyx · Custom healthcare lists

Need all 61 Clinic/Center providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related