Community Council Of Idaho, Inc

LBN: Community Council Of Idaho, Inc
Community Council Of Idaho, Inc is an health care organization with primary practice located at 2100 Alan St , Idaho Falls ID 83404-5801. 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) 528-7655, or through Cantu, Arnold via phone (208) 528-7655.

Contact Information

Primary practice address
2100 Alan St Idaho Falls ID 83404-5801
Phone: (208) 528-7655
Fax: (208) 524-9390
Website:
Map and Directions
Authorized official contact:
Name: Cantu, Arnold
Phone: (208) 528-7655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1710925250
LBN Legal business name Community Council Of Idaho, Inc
DBA Doing business as
Authorized official Cantu, Arnold
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 4th, 2006
Last updated Nov 13th, 2023 - about last year

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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