COMMUNITY COUNCIL OF IDAHO, INC is a federally qualified health center (fqhc) clinic center in Idaho Falls, ID. COMMUNITY COUNCIL OF IDAHO, INC NPI is 1710925250. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2100 ALAN ST IDAHO FALLS, ID ZIP 83404-801 Phone: (208) 528-7655 Fax: (208) 524-9390
The provider's authorized official is Arnold Cantu . The authorized official title is Clinic Administrator and has the following contact phone number (208) 528-7655.
The enumeration date for this NPI number is 6/4/2006 and was last updated on 11/13/2023.
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:
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: 3/30/2025
NPI Synchronization or Removal
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