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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 Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COMMUNITY CARE REXBURG LLC

NPI Number 1740554237
LBN Legal business name COMMUNITY CARE REXBURG LLC
Authorized official EVELYN ROSSI - (PATIENT FINANCIAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 02/29/2012
Last updated 01/25/2021 - About 5 years ago
Identifiers
ID License # W 110632
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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