Community Care Pllc in Rexburg - Family Medicine
Community Care Pllc - NPI 1184647307
Community Care Pllc is a Family Medicine in Rexburg, Idaho. Community Care Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Community Care Pllc is 1184647307. The last update date is 2020-08-22.
Community Care Pllc's current location address is 72 E Main St, Rexburg, Idaho. You can contact this provider via phone number 2083591770 and fax number 2083591780. The mailing address for Community Care Pllc is 72 E Main St, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Care Pllc |
|---|---|
| Address | 72 E Main St, Rexburg, Idaho |
| Phone Number | 2083591770 |
| Fax Number | 2083591780 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Peterson Ryan |
| Telephone Number | 2085258448 |
NPI Number Detail
| NPI Number | 1184647307 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 72 E Main St |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 834401926 |
| Phone Number | 2083591770 |
| Fax Number | 2083591780 |
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 identifier code issued to Community Care Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Community Care Pllc has been assigned the NPI (National Provider Identifier) 1184647307. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Community Care Pllc?
The Community Care Pllc is physically situated at 72 E Main St, in the city of Rexburg, state of ID, with the postal code 834401926.
What is the Community Care Pllc's specialty and taxonomy code?
The Community Care Pllc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184647307 to Community Care Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1184647307 to Community Care Pllc on 2006-07-26.
As of what date was the information pertaining to Community Care Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Community Care Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.