24 COMMUNITY CARE PLLC (NPI# 1740677871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740677871 |
| Entity Type | Organization |
| Organization Name | 24 COMMUNITY CARE PLLC |
| Practice Address |
3544 E 17th St Suite 201 Ammon ID 83406-6911 |
| Practice Telephone | 2085240685 |
| Practice Fax Number | 2085240686 |
| Mailing Telephone | 2085240685 |
| Mailing Fax Number | 2085240686 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Authorized Official Name | COLBY COOMBS (OWNER) |
| Authorized Official Telephone | 2085240685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3544 E 17TH ST SUITE 201 |
| City | AMMON |
| State | ID |
| Zip Code | 83406-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858465 | Darryl G Moffett Jr. | Ophthalmology | 3544 E 17th St, Suite 105, Ammon, ID 83406-6911 | 2006-06-11 |
| 1194112037 | Ut - Signature Hpc LLC | Hospice Care, Community Based | 3544 E 17th St, Suite 201, Ammon, ID 83406-6911 | 2015-04-17 |
| 1851787980 | Fit Technologies Pllc | Clinic/Center | 3544 E 17th St, Suite 201, Ammon, ID 83406-6911 | 2015-04-15 |
| 1881946341 | Signature Hospice & Palliative Care | Hospice Care, Community Based | 3544 E 17th St, Suite 201, Ammon, ID 83406-6911 | 2012-10-09 |
| 1437274057 | Teton Retinal Institute Pa | Ophthalmology | 3544 E 17th St, Ste 105, Ammon, ID 83406-6911 | 2007-03-20 |
| 1689713224 | Jennifer Beth Shell Boehm | Counselor | 3544 E 17th St, Ammon, ID 83406-6913 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1144783499 | Mountain States Diabetes Relief, LLC | Internal Medicine | 4573 E Majestic, Idaho Falls, ID 83406 | 2019-04-12 |
| 1447718853 | Root Cause Integrative Medicine LLC | Family Medicine | 1547 S Midway Ave, Suite B, Ammon, ID 83406 | 2019-03-05 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1710236823 | Flower D. Aston | Dietitian, Registered | 300 Bridger Drive, Ammon, ID 83406 | 2012-09-05 |
| 1558658468 | Nathan Myers | Pharmacist | 1901 South 2500 East, Idaho Falls, ID 83406 | 2011-06-30 |
| 1760719934 | Snf Ammon Operating Company LLC. | Skilled Nursing Facility | 3909 South 25th East, Ammon, ID 83406 | 2009-11-10 |
| 1316192370 | A Childs Smile | Dentist | 3299 E. 17th Street, Ammon, ID 83406 | 2008-11-18 |
| 1992968804 | Brandon D Gordon | Dentist | 7186 Sage View Cr, Idaho Falls, ID 83406 | 2008-07-10 |
| 1891996526 | Help, Inc. | Community/Behavioral Health | 1465 Hoopes Ave, Idaho Falls, ID 83406 | 2007-05-30 |
| Find all providers in zip 83406 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1447801451 | Mountain Country Family Healthcare, Pllc | Clinic/Center | 31911 N 5th Ave, Spirit Lake, ID 83869 | 2019-09-23 |
| 1275186835 | Bella Family Healthcare & Aesthetics | Clinic/Center | 1545 E Leighfield Dr Ste 100, Meridian, ID 83646-5371 | 2019-07-22 |
| 1902387285 | Integrative Health Solutions Pllc | Clinic/Center | 1215 Michigan St Ste B, Sandpoint, ID 83864-5014 | 2018-08-24 |
| 1235618331 | Healthworks Med Group of Colorado P C | Clinic/Center | 126 E 21st St, Burley, ID 83318-2551 | 2018-08-09 |
| 1427537927 | Gem State Family Health Care Pllc | Clinic/Center | 496 Shoup Ave W Ste E, Twin Falls, ID 83301-5043 | 2018-08-07 |
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1073031118 | Clover Creek Medical | Clinic/Center | 175 North Main Street, Bloomington, ID 83223-8322 | 2017-09-08 |
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Please comment or provide details below to improve the information on 24 COMMUNITY CARE PLLC.
| 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.