Healthcare Provider Details

I. General information

NPI: 1124807011
Provider Name (Legal Business Name): BEE HEALTHY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 W 1ST S
REXBURG ID
83440-1810
US

IV. Provider business mailing address

32 W 1ST S
REXBURG ID
83440-1810
US

V. Phone/Fax

Practice location:
  • Phone: 208-417-4899
  • Fax: 208-417-4899
Mailing address:
  • Phone: 208-417-4899
  • Fax: 208-656-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFF MCCLURE
Title or Position: OWNER
Credential:
Phone: 509-547-7088