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COMMUNITY CARE WEST SIDE LLC NPI 1295009785


NPI Information

NPI: 1295009785
Provider Name: COMMUNITY CARE WEST SIDE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
765 S UTAH AVE
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 525-2600
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COMMUNITY CARE WEST SIDE LLC is a family medicine in Idaho Falls, ID. The provider is 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. COMMUNITY CARE WEST SIDE LLC NPI is 1295009785. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

765 S UTAH AVE
IDAHO FALLS, ID
ZIP 83402-093
Phone: (208) 525-2600
Fax: (208) 525-2611

The provider's authorized official is Heather Mcvey .
The authorized official title is Office Manager and has the following contact phone number (208) 525-2600.

The enumeration date for this NPI number is 2/29/2012 and was last updated on 4/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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