COMMUNITY COUNCIL OF IDAHO, INC
NPI 1710925250
Clinic/Center - Federally Qualified Health Center (FQHC) in Idaho Falls, ID

NPI Status: Active since June 04, 2006

Contact Information

2100 ALAN ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 528-7655
Fax: (208) 524-9390

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About COMMUNITY COUNCIL OF IDAHO, INC

This page provides the complete NPI Profile along with additional information for Community Council Of Idaho, Inc, a primary care provider established in Idaho Falls, Idaho operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1710925250 assigned on June 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Arnold Cantu (Clinic Administrator)

NPI
1710925250
Provider Name
COMMUNITY COUNCIL OF IDAHO, INC
Entity Type
Organization
Location Address
2100 ALAN ST IDAHO FALLS, ID 83404
Location Phone
(208) 528-7655
Location Fax
(208) 524-9390
Mailing Address
2100 ALAN ST IDAHO FALLS, ID 83404
Mailing Phone
(208) 528-7655
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-04-2006
Last Update Date
11-13-2023
Code Navigator

A primary care provider (PCP) like Community Council Of Idaho, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARNOLD CANTU

Authorized Official Title
CLINIC ADMINISTRATOR
Authorized Official Phone
(208) 528-7655

Reviews for COMMUNITY COUNCIL OF IDAHO, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710925250
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272018210210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 2 + 1 + 0 + 2 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710925250 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285279141 LILIA CHAVEZ
Individual
Social Worker (Clinical)2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1932674553 RAYMOND DALE PRICE PA
Individual
Family Medicine2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1679997779 JOSHUA GERALD TEW PA-C
Individual
Family Medicine2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1245994037 LAUREN CASPER PA
Individual
Physician Assistant2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1275292161COMMUNITY COUNCIL OF IDAHO, INC
Organization
Pharmacy (Community/Retail Pharmacy)2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 470-7979
1619657020 NOEMI RIVAS BRIONES FNP-C
Individual
Nurse Practitioner (Family)2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1386901627 RONALD KYLE SEBREROS I LCSW
Individual
Social Worker2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1528419447DR. TROY COULSON PHARMD
Individual
Pharmacist2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 470-7979
1932789260DR. MATTHEW AARON WIDDISON MD
Individual
Family Medicine2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655
1801037551 WILLIAM JAMES MAY LMFT
Individual
Marriage & Family Therapist2100 ALAN ST
IDAHO FALLS, ID 83404
(208) 528-7655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710925250, enumerated in the NPI registry as an "organization" on June 04, 2006

The provider is located at 2100 Alan St Idaho Falls, Id 83404 and the phone number is (208) 528-7655

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Mountain Health CO-OP and University of Utah. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.