Bloom Idaho LLC
Bloom Idaho LLC is a healthcare organization registered as Urgent Care Clinic/Center in Meridian, ID, holding Type 2 (organization) NPI 1104401488 since 2021. The authorized official on file is Spencer Smith, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104401488 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bloom Idaho LLC |
| Other name | <Unavail> |
| Practice address | 3185 E USTICK RD, Meridian, ID, 83646 |
| Phone | 2082967100 |
| Enumeration date | 2021-03-17 |
| Last updated in NPPES | 2022-05-02 |
Authorized official
| Name | Spencer Smith |
|---|---|
| Title | Ceo |
| Phone | 2088533000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QU0200X | Urgent Care Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Bloom Idaho LLC NPI: 1104401488 Taxonomy: 261QU0200X (Urgent Care Clinic/Center) Address: 3185 E USTICK RD, Meridian, ID, 83646
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245641984 | Lori Sylves-Muench | Individual | Family Nurse Practitioner | Meridian, ID |
| 1831968080 | Sterling Provider Group | Organization | Urgent Care Clinic/Center | Meridian, ID |
Verify this record
Cross-check NPI 1104401488 against the authoritative CMS record: view Bloom Idaho LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Bloom Idaho LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-02.