Community Council of Idaho, Inc.

NPI #1740356633 in Rigby, Idaho

Provider Information

NPI Number: 1740356633
Entity Type: Organization
Organization Name: Community Council of Idaho, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 24, 2006
Last Updated: Jul 16, 2025

Practice Location

Address: 4002 E 397 N
City: Rigby
State: Idaho
ZIP Code: 83442-5456
Phone: (208) 228-2200

Authorized Official

Name: ARNOLD CANTU
Title: CLINIC ADMINISTRATOR
Phone: (208) 528-7655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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