NPI age
14 years
Enumerated 2012-02-29
● Active Type 2 · Organization
Community Care Rexburg Llc
Community Care Rexburg Llc is 1 of 145 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
Rossi
Patient Financial Services
Last NPPES update
2021-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
14 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 9% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
72 E Main St
Rexburg, ID 834401926
Mailing address
72 E Main St
Rexburg, ID 834401926
Authorized official
Evelyn Rossi, VICE PRESIDENT
Patient Financial Services
📞 2085572716
Individual providers at this organization
2 individual providers on file at this primary practice address.
- David Daniels, D.O. Family Medicine NPI 1972549137
- Trent Shaw, PA-C Physician Assistant NPI 1366488926
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
-
Nurse PractitionerDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.