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
10965 W OVERLAND ROAD, BOISE, ID 83709
(208) 900-9901
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
04/26/2022
Last updated
01/04/2023
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