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COMMUNITY CARE WEST SIDE LLC
NPI 1295009785
Family Medicine in Idaho Falls, ID

Active since February 29, 2012CLIA 13D0520845 · Certificate of Compliance
765 S UTAH AVE, IDAHO FALLS, ID 83402(208) 525-2600(208) 525-2611 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Care West Side Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE WEST SIDE LLC (NPI 1295009785) is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through February 6, 2028 and lists Heather Mcvey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295009785
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY CARE WEST SIDE LLC
Location Address765 S UTAH AVEIdaho Falls, ID 83402-5093
Mailing Address765 S Utah AveIdaho Falls, ID 83402-5093 · (208) 525-2600 · Fax (208) 525-2611
Phone(208) 525-2600
Fax(208) 525-2611
Organization SubpartNo
Authorized OfficialHeather McveyOffice Manager · (208) 525-2600
Enumeration DateFebruary 29, 2012
Last NPPES UpdateApril 5, 2017
✔ NPI 1295009785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
765 S UTAH AVE, Idaho Falls, ID 83402
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0520845

Community Care Idaho Falls West · Idaho Falls, ID
Active · expires Feb 6, 2028
CLIA Number13D0520845
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorEthan Mccarty
Laboratory Phone(208) 525-2600
Laboratory LocationCommunity Care Idaho Falls West765 S Utah Ave, Idaho Falls, ID 83402
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKAYLIE SORENSEN CROWTHER DNP, FNP-C
Nurse Practitioner (Family)
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600
MRS. CAREN J SMITH PA-C
Physician Assistant
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600
STEPHANIE ANN ORR FNP-C
Nurse Practitioner
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600
DEREK R CAMPBELL D.O.
Family Medicine
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600
MS. ANDRIA LEA DOTSON FNP
Nurse Practitioner (Family)
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600
MARCUS KADE BARKER
Physician Assistant (Medical)
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600
ROBERTA J. BOSTIAN AGACNP
Nurse Practitioner (Acute Care)
765 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 525-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Care West Side LLC's NPI number?

The NPI number for Community Care West Side LLC is 1295009785. It was assigned to this organization in the NPPES registry on February 29, 2012.

Where is Community Care West Side LLC located?

Community Care West Side LLC is located at 765 S Utah Ave, Idaho Falls, ID 83402. The listed phone number is (208) 525-2600.

What is Community Care West Side LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Community Care West Side LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0520845) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Care West Side LLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Community Care West Side LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Care West Side LLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.