Community Care, Pllc

LBN: Community Care, Pllc
Community Care, Pllc is an health care organization with primary practice located at 1595 Yellowstone Ave , Pocatello ID 83201. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Community Care, Pllc can be contacted via phone (208) 233-0032, or through Peterson, Ryan L via phone (208) 525-8448.

Contact Information

Primary practice address
1595 Yellowstone Ave Pocatello ID 83201
Phone: (208) 233-0032
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Ryan L
Phone: (208) 525-8448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1003088782
LBN Legal business name Community Care, Pllc
DBA Doing business as
Authorized official Peterson, Ryan L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated Aug 12th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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