Community Care Pllc | |
167 E 1st S Rigby ID 83442-1401 | |
(208) 745-8747 | |
(208) 745-9396 |
Full Name | Community Care Pllc |
---|---|
Speciality | Family Medicine |
Location | 167 E 1st S, Rigby, 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 167 E 1st S Rigby ID 83442-1401 Ph: (208) 745-8747 | Community Care Pllc 167 E 1st S Rigby ID 83442-1401 Ph: (208) 745-8747 |
NPI Number | 1952324188 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952324188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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