Organization
BLOOM IDAHO LLC
Active
Other names
AFC Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER SMITH (CEO)
(208) 207-8500
Entity
Organization
Contact information
Practice address
1610 CALDWELL BLVD, NAMPA, ID 83651-1728
(208) 207-8500
Mailing address
PO BOX 5943, VIRGINIA BEACH, VA 23471-0943
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/30/2020
Last updated
04/25/2022
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