COMMUNITY CARE POCATELLO PLLC – NPI #1265714760
Clinic/Center

COMMUNITY CARE POCATELLO PLLC is an AHC clinic located in POCATELLO, ID. NPPES has assigned the NPI number 1265714760 to COMMUNITY CARE POCATELLO PLLC on September 12, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY CARE POCATELLO PLLC below.

NPI Profile for
COMMUNITY CARE POCATELLO PLLC

NPI Number
1265714760
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CARE POCATELLO PLLC
Primary location
1595 YELLOWSTONE AVE
POCATELLO, ID 83201-4203
Phone: (208) 233-0032 Fax: (208) 237-9171
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEREK CAMPBELL
MEMBER
Phone: (208) 233-0032
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.