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

Community Council of Idaho, Inc

Organization Family Medicine Physician · NPI 1710925250

Community Council of Idaho, Inc is a Family Medicine Physician in Idaho Falls, 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.

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Practice location Address checks out

2100 Alan St
Idaho Falls, ID 83404-5801
Phone: (208) 528-7655
Fax: (208) 524-9390
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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 number1710925250
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommunity Council of Idaho, Inc
Authorized official Arnold Cantu — Clinic Administrator · (208) 528-7655
NPI enumeratedJune 4, 2006
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address2100 Alan St, Idaho Falls, ID 83404-5801

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