NPI age
19 years
Enumerated 2006-11-21
● Active Type 2 · Organization
Community Council Of Idaho, Inc.
Community Council Of Idaho, Inc. is 1 of 157 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cantu
Clinic Administrator
Last NPPES update
2023-11-13
Source: monthly bulk 2026-05
How this organization compares
Across 157 active clinic/center providers in Idaho.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 82% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1491 Parkway Dr
Blackfoot, ID 832211667
Mailing address
2100 Alan St
Idaho Falls, ID 834045801
Authorized official
Arnold Cantu
Clinic Administrator
📞 2085287655
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Family MedicineFamily 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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Community Family Clinic
-
Community Family Clinic
Practice context
Single-site organization. Only one practice location on file.
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