COMMUNITY CARE WEST SIDE LLC
NPI 1295009785
Family Medicine in Idaho Falls, ID
NPI Status: Active since February 29, 2012
Contact Information
765 S UTAH AVE
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 525-2600
Fax: (208) 525-2611
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 13D0520845
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-06-2028
About COMMUNITY CARE WEST SIDE LLC
This page provides the complete NPI Profile along with additional information for Community Care West Side Llc, a primary care provider established in Idaho Falls, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1295009785 assigned on February 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Heather Mcvey Cpc (Office Manager)
- NPI
- 1295009785
- Provider Name
- COMMUNITY CARE WEST SIDE LLC
- Entity Type
- Organization
- Location Address
- 765 S UTAH AVE IDAHO FALLS, ID 83402
- Location Phone
- (208) 525-2600
- Location Fax
- (208) 525-2611
- Mailing Address
- 765 S UTAH AVE IDAHO FALLS, ID 83402
- Mailing Phone
- (208) 525-2600
- Mailing Fax
- (208) 525-2611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-29-2012
- Last Update Date
- 04-05-2017
- Code Navigator
A primary care provider (PCP) like Community Care West Side Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0520845
- Facility Type
- Physician Office
- Certificate Effective Date
- February 07, 2026
- Certificate Expiration Date
- February 06, 2028
- Laboratory Director
- ETHAN MCCARTY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Community Care West Side Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1295009785, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
IDAHO FALLS, ID 83402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295009785, enumerated as an "organization" on February 29, 2012.
The provider is located at 765 S UTAH AVE IDAHO FALLS, ID 83402 and the phone number is (208) 525-2600.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc. and University of Utah. Please consult your insurance carrier or call the provider to verify.
