COMMUNITY CARE POCATELLO – NPI #1538517156
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

COMMUNITY CARE POCATELLO is a provider located in POCATELLO, ID. NPPES has assigned the NPI number 1538517156 to COMMUNITY CARE POCATELLO on May 25, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMMUNITY CARE POCATELLO” is a dba name, the actual legal business name for this organization is CC POCATELLO LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 below.

NPI Profile for
CC POCATELLO LLC

NPI Number
1538517156
Enumeration Date

(more than 10 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
CC POCATELLO LLC
Doing Business As (dba): COMMUNITY CARE POCATELLO
Primary location
1595 YELLOWSTONE AVE
POCATELLO, ID 83201-4203
Phone: (208) 233-0032 Fax:
Mailing address
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone: (208) 557-2700 Fax:
Organization Subpart
Yes - COMMUNITY CARE POCATELLO is subpart of another organization.
Authorized Official
JOSHUA TOLMAN
CAO
Phone: (208) 557-2700
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
207Q00000X
- Family Medicine (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.