NPI age
9 years
Enumerated 2016-05-25
● Active Type 2 · Organization
Subpart
Cc Pocatello Llc
Cc Pocatello Llc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tolman
Cao
Last NPPES update
2016-05-25
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1595 Yellowstone Ave
Pocatello, ID 832014203
Mailing address
2325 Coronado St
Idaho Falls, ID 834047407
Authorized official
Joshua Tolman
Cao
📞 2085572700
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
-
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Community Care Pocatello
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Mountain View Hospital Llc.
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- 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.