Community Council of Idaho, Inc
Community Council of Idaho, Inc is a Family Medicine Physician in Blackfoot, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1491 Parkway DrBlackfoot, ID 83221-1667
Phone: (208) 782-0500
Fax: (844) 328-7224
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1356416861 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Arnold Cantu — Clinic Administrator · (208) 528-7655 |
| Other names | Community Family Clinic; Community Family Clinic |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | November 13, 2023 |
| Certification date | November 13, 2023 |
| Mailing address | 2100 Alan St, Idaho Falls, ID 83404-5801 |
Other providers in Blackfoot
-
Bmh, Inc
315 W Idaho St, Blackfoot, ID 83221-1711 · (208) 782-3990
-
Dr. Amador Ramirez Cantu, DO
354 S 1000 W, Blackfoot, ID 83221-6085 · (208) 684-4958
-
Brian Carrigan, MD
326 Poplar St, Blackfoot, ID 83221-1741 · (208) 785-5801
-
Steven J Clinger, MD
1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600
-
Gordon E Dixon Jr., DO
1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600
-
Matthew J Fackrell, DO
1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600
-
Dr. Stanley Brandon Grover, DO
98 Poplar St, Blackfoot, ID 83221-1799 · (208) 785-4100
-
George G Hales, MD
1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600