Community Care Pllc in Idaho Falls - Family Medicine
Community Care Pllc - NPI 1205846425
Community Care Pllc is a Family Medicine in Idaho Falls, Idaho. Community Care Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Community Care Pllc is 1205846425. The last update date is 2020-08-22.
Community Care Pllc's current location address is 1995 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085295252 and fax number 2085294434. The mailing address for Community Care Pllc is 1995 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care Pllc |
|---|---|
| Address | 1995 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085295252 |
| Fax Number | 2085294434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEO |
|---|---|
| Authorized Official Name | Peterson Ryan |
| Telephone Number | 2085258448 |
NPI Number Detail
| NPI Number | 1205846425 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1995 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046493 |
| Phone Number | 2085295252 |
| Fax Number | 2085294434 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Community Care Pllc by the Centers for Medicare & Medicaid Services?
The Community Care Pllc has been assigned the NPI (National Provider Identifier) 1205846425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Community Care Pllc is located?
The Community Care Pllc is situated at the following address: 1995 E 17Th St, Idaho Falls, ID, 834046493.
What is Community Care Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Community Care Pllc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205846425 to Community Care Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1205846425 to Community Care Pllc on 2006-08-09.
As of what date were the Community Care Pllc's details last updated?
The information pertaining to the Community Care Pllc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA