Community Care, Pllc in Pocatello - Family Medicine
Community Care, Pllc - NPI 1003088782
Community Care, Pllc is a Family Medicine in Pocatello, Idaho. Community Care, Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Community Care, Pllc is 1003088782. The last update date is 2010-08-12.
Community Care, Pllc's current location address is 1595 Yellowstone Ave, Pocatello, Idaho. You can contact this provider via phone number 2082330032. The mailing address for Community Care, Pllc is 1595 Yellowstone Ave, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care, Pllc |
|---|---|
| Address | 1595 Yellowstone Ave, Pocatello, Idaho |
| Phone Number | 2082330032 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Peterson L Ryan |
| Telephone Number | 2085258448 |
NPI Number Detail
| NPI Number | 1003088782 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2010-08-12 |
Provider Mailing Address Detail
| Address | 1595 Yellowstone Ave |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 83201 |
| Phone Number | 2082330032 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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 |
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What is the unique 10-digit identification 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) 1003088782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Community Care, Pllc is geographically located?
The Community Care, Pllc is physically situated at the following location: 1595 Yellowstone Ave, Pocatello, ID, 83201.
What is Community Care, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Care, Pllc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Community Care, Pllc receive the assignment of its 1003088782 from the Centers for Medicare & Medicaid Services?
The Community Care, Pllc was issued its 1003088782 by the Centers for Medicare & Medicaid Services on 2008-04-02.
When was the information related to Community Care, Pllc most recently updated or refreshed?
The details pertaining to the Community Care, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-12.
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