| Community Family Clinic | |
|
651n 2858e Roberts ID 83404 | |
| (208) 228-2200 | |
| Not Available |
| Full Name | Community Family Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 651n 2858e, Roberts, Idaho |
| Authorized Official Name and Position | Arnold Cantu (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 2085287655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Clinic 2100 Alan St Idaho Falls ID 83404-5801 Ph: (208) 528-7655 | Community Family Clinic 651n 2858e Roberts ID 83404 Ph: (208) 228-2200 |
| NPI Number | 1740356633 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740356633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |