Community Council of Idaho, Inc.
NPI #1356416861 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1356416861
- Entity Type
- Organization
- Organization Name
- Community Council of Idaho, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Nov 13, 2023
Practice Location
Authorized Official
- Name
- ARNOLD CANTU
- Title
- CLINIC ADMINISTRATOR
- Phone
- (208) 528-7655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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