NPI age
5 years
Enumerated 2020-09-30
● Active Type 2 · Organization
Bloom Idaho Llc
Bloom Idaho Llc is 1 of 61 clinic/center organizations in Idaho.
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
2022-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
5 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 52% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1610 Caldwell Blvd
Nampa, ID 836511728
Mailing address
Po Box 5943
Virginia Beach, VA 234710943
Authorized official
Spencer Smith
Ceo
📞 2082078500
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
AFC Urgent Care
Practice context
Single-site organization. Only one practice location on file.
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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.