Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Integrated Medical Center

Organization Nurse Practitioner · NPI 1033674916

Advanced Integrated Medical Center is a Nurse Practitioner in Blackfoot, Idaho. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

1395 NW Main St
Blackfoot, ID 83221-3936
Phone: (208) 785-0270
Fax: (208) 785-0683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1598 Delphic Way Ste A2, Pocatello, ID 83201-2200 — (208) 232-0220

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1033674916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dee Stevens — Owner/Operator · (435) 764-1775
NPI enumeratedFebruary 5, 2019
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address1742 N 500 W Apt 102, Logan, UT 84341-2875

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