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

Blackfoot Medical Clinic RHC

Organization Family Medicine Physician · NPI 1124283254

Blackfoot Medical Clinic RHC is a Family Medicine Physician in Blackfoot, Idaho. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1441 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 785-2600
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124283254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheila Tibbitts — Administrator · (208) 785-2600
NPI enumeratedJuly 29, 2008
Last updated in NPPESJuly 31, 2008
Mailing address1441 Parkway Dr, Blackfoot, ID 83221-1667

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