Organization
BLOOM IDAHO LLC
Active
Other names
AFC Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER SMITH (CEO)
(208) 853-3000
Entity
Organization
Contact information
Practice address
3185 E USTICK RD, MERIDIAN, ID 83646
(208) 296-7100
Mailing address
PO BOX 5943, VIRGINIA BEACH, VA 23471-0943
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
05/02/2022
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