NPI age
19 years
Enumerated 2006-06-04
● Active Type 2 · Organization
Subpart
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
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2100 Alan St
Idaho Falls, ID 834045801
Mailing address
2100 Alan St
Idaho Falls, ID 834045801
Authorized official
Arnold Cantu
Clinic Administrator
📞 2085287655
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Lauren Casper, PA Physician Assistant NPI 1245994037
- Lilia Chavez Social Worker NPI 1285279141
- Troy Coulson, PHARMD Pharmacist NPI 1528419447
- William May, LMFT Marriage & Family Therapist NPI 1801037551
- Raymond Price, PA Family Medicine NPI 1932674553
- Noemi Rivas Briones, FNP-C Nurse Practitioner NPI 1619657020
- Ronald Sebreros, LCSW Social Worker NPI 1386901627
- Joshua Tew, PA-C Family Medicine NPI 1679997779
- Matthew Widdison, MD Family Medicine NPI 1932789260
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...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of Community Council Of Idaho, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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