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BLOOM IDAHO LLC

Organization (NPI-2) Active

Clinic/Center, Multi-Specialty

Provider Information

NPI Number
1780291088
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1610 CALDWELL BLVD, NAMPA, ID, 836511728
Phone
(208) 207-8500

Specialties & Taxonomies

Clinic/Center, Urgent Care
Clinic/Center, Multi-Specialty Primary

All Addresses

LOCATION

1610 CALDWELL BLVD

NAMPA, ID, 836511728

(208) 207-8500

MAILING

PO BOX 5943

VIRGINIA BEACH, VA, 234710943