City of Blackfoot

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

CITY OF BLACKFOOT

Practice address

960 S Fisher Ave
Blackfoot, ID 83221-3370

Phone

(208) 785-8625

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chantel Bame

Title

Pool Manager

Phone

(208) 785-8625

Specialties & licenses 1

Addresses

Tax ID family

City of Blackfoot2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Blackfoot

  • Land Ambulance
  • Blackfoot, ID
  • NPI 1831120708
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1063839124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 S FISHER AVE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832213370",
            "telephone_number": "208-785-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S FISHER AVE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832213370",
            "telephone_number": "208-785-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BLACKFOOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BAME",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "POOL MANAGER",
        "authorized_official_telephone_number": "208-785-8625"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcey Lynn Carr, COTA
• Brian Carrigan, MD
• Childrens Supportive Services Incorporated
• Childrens Supportive Services Incorporated
• Christine Christensen
• City of Blackfoot
• Jacob Clawson, MD
• Shanna Clayson, LSW
• Steven J Clinger, MD
• Ronda Marie Cody

• Point of Service in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Point of Service in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.