Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cc Pocatello LLC

Organization Family Medicine Physician · NPI 1538517156

Cc Pocatello LLC is a Family Medicine Physician in Pocatello, Idaho. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1595 Yellowstone Ave
Pocatello, ID 83201-4203
Phone: (208) 233-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538517156
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMountain View Hospital LLC
Authorized official Joshua Tolman — Cao · (208) 557-2700
Other names Community Care Pocatello
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 25, 2016
Mailing address2325 Coronado St, Idaho Falls, ID 83404-7407

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