Community Care Pllc

LBN: Community Care Pllc
Community Care Pllc is an health care organization with primary practice located at 1995 E 17Th St , Idaho Falls ID 83404-6493. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Community Care Pllc can be contacted via phone (208) 529-5252, or through Peterson, Ryan via phone (208) 525-8448.

Contact Information

Primary practice address
1995 E 17Th St Idaho Falls ID 83404-6493
Phone: (208) 529-5252
Fax: (208) 529-4434
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Ryan
Phone: (208) 525-8448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1205846425
LBN Legal business name Community Care Pllc
DBA Doing business as
Authorized official Peterson, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 22nd, 2020 - about 5 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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