Organization
BLOOM IDAHO LLC
Active
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
6965 N GLENWOOD ST, GARDEN CITY, ID 83714-1967
(208) 853-3000
Mailing address
50 HENRY ST, CORTEZ, CO 81321-3012
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
06/25/2019
Last updated
05/02/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up