Bloom Idaho LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BLOOM IDAHO LLC

Doing business as

AFC Urgent Care

Practice address

10965 W Overland Road
Boise, ID 83709

Phone

(208) 900-9901

NPI assigned

Apr 26, 2022

Last updated

Jan 4, 2023By 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

Spencer Smith

Title

Ceo

Phone

(208) 853-3000

Specialties & licenses 1

Addresses

Other names 1

• AFC Urgent Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bloom Idaho LLC

  dba AFC Urgent Care

  • Multi-Specialty Clinic/Center
  • Nampa, ID
  • NPI 1780291088

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1841934866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5943",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234710943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 W OVERLAND ROAD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-900-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-853-3000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFC Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Rae Blomberg, LMSW
• Jason Blomquist
• Cara Lorena Bloodworth, NNP
• Bloom Children's Developmental Services, LLC
• Bloom Counseling and Consulting
• Bloom Integrative Therapy
• Bloom Speech and Voice Therapy LLC
• Lance Elden Bloom, O.D.
• Tia Bloom, PHARMD
• Fred Bloomquist, RRT

• Urgent Care Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Urgent Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.