Community Family Clinic
LBN: Community Council Of Idaho, Inc.
Community Family Clinic is an health care organization with primary practice located at 1491 Parkway Dr , Blackfoot ID 83221-1667. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Council Of Idaho, Inc. can be contacted via phone (208) 782-0500, or through Cantu, Arnold via phone (208) 528-7655.
Contact Information
Primary practice address
1491 Parkway Dr
Blackfoot ID 83221-1667
Phone: (208) 782-0500
Fax: (844) 328-7224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1356416861 |
|---|---|
| LBN Legal business name | Community Council Of Idaho, Inc. |
| DBA Doing business as | Community Family Clinic |
| Authorized official | Cantu, Arnold |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Nov 13th, 2023 - about 2 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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