Blackfoot Medical Clinic Mental Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLACKFOOT MEDICAL CLINIC MENTAL HEALTH

Practice address

1441 Parkway Dr
Blackfoot, ID 83221-1667

Phone

(208) 785-2600

NPI assigned

Jun 7, 2007

Organization subpart

No

Name

Betty Miller

Title

Business Office Manager

Phone

(208) 785-2600

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

• Blackfoot Medical Clinic RHC

  • Family Medicine Physician
  • Blackfoot, ID
  • NPI 1124283254
  NPD tax ID
• Blackfoot Medical Clinic Surgeons

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1740580794
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher S Riley, MD

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1831144757
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265635205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-785-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKFOOT MEDICAL CLINIC MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "208-785-2600"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackfoot Anesthesia Services LLC
• Blackfoot Behavioral Health, LLC
• Blackfoot Charter Community Learning Center
• Blackfoot Family Dentistry PLLC
• Blackfoot Medical Clinic Inc
• Blackfoot Medical Clinic RHC
• Blackfoot Medical Clinic Surgeons
• Blackfoot Medical Clinic, Inc
• Blackfoot Operations LLC
• Blackfoot School Dist #55

• All providers in Blackfoot, ID
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.