COMMUNITY COUNCIL OF IDAHO, INC (NPI# 1710925250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710925250 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNCIL OF IDAHO, INC |
| Practice Address |
2088 E 25th St Idaho Falls ID 83404-6490 |
| Practice Telephone | 2085287655 |
| Mailing Telephone | 2085287655 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-08-12 |
| Authorized Official Name | IRMA MORIN (ADMINISTRATION) |
| Authorized Official Telephone | 2084533020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY COUNCIL OF IDAHO, INC. | 315 Happy Day Blvd Ste 120, Caldwell, ID 83607 |
| Street Address |
2088 E 25TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700344595 | Snake River Human Services | Case Management | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2019-03-11 |
| 1184097370 | Peter J Valora | Physician Assistant | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2015-11-10 |
| 1760724744 | Kody Kurtis Tew | Physician Assistant | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2013-03-18 |
| 1629308671 | Joe A Andersen | Counselor | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2010-01-13 |
| 1457685265 | Rebecca Jean Newby | Physician Assistant | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2009-09-25 |
| 1740461102 | Shaun J Westergard | Physician Assistant | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2007-11-14 |
| 1285677757 | Emily Newberry | Nurse Practitioner | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2006-06-13 |
| 1548202567 | Eric Harms | Marriage & Family Therapist | 2088 E 25th St, Idaho Falls, ID 83404-6490 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on COMMUNITY COUNCIL OF IDAHO, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.