| Community Care Pllc | |
|
72 E Main St Rexburg ID 83440-1926 | |
| (208) 359-1770 | |
| (208) 359-1780 |
| Full Name | Community Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 72 E Main St, Rexburg, Idaho |
| Authorized Official Name and Position | Ryan Peterson (CEO) |
| Authorized Official Contact | 2085258448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Pllc 72 E Main St Rexburg ID 83440-1926 Ph: (208) 359-1770 | Community Care Pllc 72 E Main St Rexburg ID 83440-1926 Ph: (208) 359-1770 |
| NPI Number | 1184647307 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184647307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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