COMMUNITY COUNCIL OF IDAHO, INC
NPI 1710925250
Clinic/Center - Federally Qualified Health Center (FQHC) in Idaho Falls, ID
About Community Council Of Idaho, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY COUNCIL OF IDAHO, INC (NPI 1710925250) is a healthcare organization registered as a federally qualified health center (fqhc) in Idaho Falls, Idaho and active in the NPI registry since June 2006. The organization lists Arnold Cantu, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Council Of Idaho, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Community Council Of Idaho, Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Council Of Idaho, Inc's NPI number?
The NPI number for Community Council Of Idaho, Inc is 1710925250. It was assigned to this organization in the NPPES registry on June 4, 2006.
Where is Community Council Of Idaho, Inc located?
Community Council Of Idaho, Inc is located at 2100 Alan St, Idaho Falls, ID 83404. The listed phone number is (208) 528-7655.
What is Community Council Of Idaho, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Community Council Of Idaho, Inc enrolled in Medicare?
Yes. Community Council Of Idaho, Inc is registered in the Medicare PECOS enrollment system.
When is Community Council Of Idaho, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Community Council Of Idaho, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Community Council Of Idaho, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (9), Clinical Social Worker (2) and Marriage and Family Therapist (2). Of these, 5 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Council Of Idaho, Inc accept?
Health plans from University of Utah Health Plans list Community Council Of Idaho, Inc 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 Council Of Idaho, Inc was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Community Council Of Idaho, Inc · NPI 1710925250
Federally Qualified Health Center (FQHC) organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1710925250 (Entity type: Organization)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Community Council Of Idaho, Inc)
- **Authorized official:** Arnold Cantu, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 2100 ALAN ST, Idaho Falls, ID 83404-5801
- **Phone:** (208) 528-7655 · **Fax:** (208) 524-9390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Clinical Social Worker (2), Marriage and Family Therapist (2); 5 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710925250) · Data from the CMS NPPES public registry.