NPI age
14 years
Enumerated 2011-09-12
● Active Type 2 · Organization
Community Care Pocatello Pllc
Community Care Pocatello Pllc is 1 of 41 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Campbell
Member
Last NPPES update
2011-09-12
Source: monthly bulk 2026-05
How this organization compares
Across 41 active clinic/center providers in Idaho.
NPI age
14 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-09Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1595 Yellowstone Ave
Pocatello, ID 832014203
Mailing address
1595 Yellowstone Ave
Pocatello, ID 832014203
Authorized official
Derek Campbell, D.O.
Member
📞 2082330032
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Amber Hays Physician Assistant NPI 1922458538
- Justus Lambson, PA-C Physician Assistant NPI 1922262542
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 41 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.