Community Council Of Idaho, Inc. in Blackfoot - Federally Qualified Health Center (fqhc)
Community Council Of Idaho, Inc. - NPI 1356416861
Community Council Of Idaho, Inc. is a Federally Qualified Health Center (fqhc) in Blackfoot, Idaho. Community Council Of Idaho, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Council Of Idaho, Inc. is 1356416861. The last update date is 2023-11-13.
Community Council Of Idaho, Inc.'s current location address is 1491 Parkway Dr, Blackfoot, Idaho. You can contact this provider via phone number 2087820500 and fax number 8443287224. The mailing address for Community Council Of Idaho, Inc. is 1491 Parkway Dr, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Council Of Idaho, Inc. |
|---|---|
| Address | 1491 Parkway Dr, Blackfoot, Idaho |
| Phone Number | 2087820500 |
| Fax Number | 8443287224 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Cantu Arnold |
| Telephone Number | 2085287655 |
NPI Number Detail
| NPI Number | 1356416861 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2023-11-13 |
Provider Mailing Address Detail
| Address | 1491 Parkway Dr |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832211667 |
| Phone Number | 2087820500 |
| Fax Number | 8443287224 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the unique identifier code issued to Community Council Of Idaho, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Community Council Of Idaho, Inc. has been assigned the NPI (National Provider Identifier) 1356416861. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Community Council Of Idaho, Inc.'s facilities are situated?
The facilities of Community Council Of Idaho, Inc. are physically located at the following address: 1491 Parkway Dr, Blackfoot, ID, 832211667.
What is the area of specialization for Community Council Of Idaho, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Community Council Of Idaho, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Community Council Of Idaho, Inc. receive the assignment of its 1356416861 from the Centers for Medicare & Medicaid Services?
The Community Council Of Idaho, Inc. was issued its 1356416861 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information related to Community Council Of Idaho, Inc. most recently updated or refreshed?
The details pertaining to the Community Council Of Idaho, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-13.