COMMUNITY COUNCIL OF IDAHO, INC - NPI 1710925250 - Clinic/Center in Idaho Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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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

NPI1710925250

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY COUNCIL OF IDAHO, INC

Location Address2100 ALAN STIdaho Falls, ID 83404-5801

Mailing Address2100 Alan StIdaho Falls, ID 83404-5801 · (208) 528-7655

Phone(208) 528-7655

Fax(208) 524-9390

Organization SubpartYes

Authorized OfficialArnold CantuClinic Administrator · (208) 528-7655

Enumeration DateJune 4, 2006

Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1710925250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

2100 ALAN ST, Idaho Falls, ID 83404

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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 SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

LILIA CHAVEZ

Social Worker (Clinical)