Community Care Pllc

NPI #1184647307 in Rexburg, Idaho

Provider Information

NPI Number: 1184647307
Entity Type: Organization
Organization Name: Community Care Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 72 E MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-1926
Phone: (208) 359-1770

Authorized Official

Name: RYAN PETERSON
Title: CEO
Phone: (208) 525-8448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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