Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLOVER CREEK MEDICAL
Active OrganizationCLOVER CREEK MEDICAL is a Primary Care Clinic organization located in BLOOMINGTON, Idaho. NPI 1073031118 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · BLOOMINGTON, ID
Registration Details
- NPI Number
- 1073031118
- Provider Type
- Organization
- NPI Issued
- Sep 8, 2017 (8.9556137523297 yrs)
- Last Updated
- Sep 8, 2017
Practice Information
- Address
-
175 NORTH MAIN STREETBLOOMINGTON, ID, 832238322Browse ID providers · Browse ZIP 83223
- Phone
- 8013620157
- Fax
- 8013620157
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.