COMMUNITY CARE
NPI 1720312242
Physician Assistant in Idaho Falls, ID

Active since September 30, 2009
2725 CHANNING WAY, IDAHO FALLS, ID 83404(208) 525-8448(208) 525-8118 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physician Assistant

About COMMUNITY CARE

This page provides the complete NPI Profile along with additional information for Community Care, a primary care provider established in Idaho Falls, Idaho operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1720312242 assigned on September 2009. The practitioner's primary taxonomy code is 363A00000X with license number PA-819 (ID). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Community Care. The authorized official of this NPI record is Brittany Russell (Administrator)

NPI
1720312242 Verify this NPI
Provider Legal Name
COMMUNITY CARE, PLLC
Other Organization Name
COMMUNITY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2725 CHANNING WAY IDAHO FALLS, ID 83404
Location Phone
(208) 525-8448
Location Fax
(208) 525-8118
Mailing Address
2725 CHANNING WAY IDAHO FALLS, ID 83404
Mailing Phone
(208) 525-8448
Mailing Fax
(208) 525-8118
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2009
Last Update Date
09-30-2009
Code Navigator

A primary care provider (PCP) like Community Care 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA-819
License State
ID
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193400000X 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRITTANY RUSSELL

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(208) 525-8448

Reviews for COMMUNITY CARE

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Clinic/Center
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Family Medicine
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Nurse Practitioner (Family)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant
2725 CHANNING WAY
IDAHO FALLS, ID 83404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720312242, enumerated as an "organization" on September 30, 2009.

The provider is located at 2725 CHANNING WAY IDAHO FALLS, ID 83404 and the phone number is (208) 525-8448.

Physician Assistant with taxonomy code 363A00000X.