Community Care Pllc

NPI #1952324188 in Rigby, Idaho

Provider Information

NPI Number: 1952324188
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: 167 E 1ST S
City: Rigby
State: Idaho
ZIP Code: 83442-1401
Phone: (208) 745-8747

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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