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Blackfoot Medical Clinic, Inc

Family Medicine Physician in Shelley, ID · enumerated 2006 · authorized official Sheila Tibbitts, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366542391

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Registry record

Entity type Organization (Type 2)
Legal business name Blackfoot Medical Clinic, Inc
Other name <Unavail>
Practice address 210 S Emerson St, Shelley, ID, 83274
Enumeration date Sep 22, 2006
Last updated in NPPES Aug 15, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Sheila Tibbitts
Title Administrator

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.

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Frequently asked questions

What type of organization is Blackfoot Medical Clinic, Inc?
Blackfoot Medical Clinic, Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-15.