● 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.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- 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.