National Provider Identifier Database

COMMUNITY CARE REXBURG LLC
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).


Contact Information

COMMUNITY CARE REXBURG LLC
72 E MAIN ST
REXBURG, ID83440-1926
Phone: 208-525-8448
Fax: 208-524-2749
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY CARE REXBURG LLC

NPI Number 1740554237
Legal business name
LBN
COMMUNITY CARE REXBURG LLC
Authorized official EVELYN ROSSI - (PATIENT FINANCIAL SERVICES)
Entity Organization
Organization subpart No
Enumeration date 02/29/2012
Last updated 01/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: W 110632

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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