Organization · Type 2 NPI
Community Care Rexburg LLC
Clinic/Center · Rexburg, ID
NPI number
1740554237
Active
Practice location
72 E Main St
Rexburg, ID 83440-1926
Fax (208) 524-2749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | W 110632 (ID) |
| Family Nurse Practitioner | 363LF0000X | None listed |
Clinic/Center: A 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 patient/client groups (e.g., radiology, poor, and public health).
4 other providers at this address
Other clinic/center providers in Rexburg
About NPI 1740554237
Community Care Rexburg LLC's National Provider Identifier is 1740554237, issued on Feb 29, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Rexburg, ID. The record was last updated on Jan 25, 2021.