COMMUNITY COUNCIL OF IDAHO, INC
NPI 1710925250
Clinic/Center - Federally Qualified Health Center (FQHC) in Idaho Falls, ID

Q: 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.

Q: 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.

Active since June 04, 2006

2100 ALAN ST, IDAHO FALLS, ID 83404(208) 528-7655(208) 524-9390 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Sep 8, 2023 (2 updates tracked since 2023).

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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.

LAUREN CASPER PA

Physician Assistant