NPI age
18 years
Enumerated 2008-04-02
● Active Type 2 · Organization
Community Care, Pllc
Community Care, Pllc is 1 of 1,722 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
Ceo
Last NPPES update
2010-08-12
Source: CMS NPPES provider record
How this organization compares
Across 1722 active family medicine providers in Idaho.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2008 → 2010
2008-04Enumerated in NPPES
2008
2010
Where they practice
Primary practice location
1595 Yellowstone Ave
Pocatello, ID 83201
Mailing address
1595 Yellowstone Ave
Pocatello, ID 83201
Authorized official
Ryan L Peterson
Ceo
📞 2085258448
Other providers sharing this address
2 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Amber Hays Physician Assistant NPI 1922458538
- Justus Lambson, PA-C Physician Assistant NPI 1922262542
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Shared NPPES address. 2 individual providers use this primary address. This does not prove employment or affiliation.
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