COMMUNITY CARE REXBURG LLC
NPI 1740554237
Clinic/Center in Rexburg, ID
NPI Status: Active since February 29, 2012
Contact Information
72 E MAIN ST
REXBURG, ID
ZIP 83440
Phone: (208) 525-8448
Fax: (208) 524-2749
- Organization
- Clinic/Center
About COMMUNITY CARE REXBURG LLC
This page provides the complete NPI Profile along with additional information for Community Care Rexburg Llc, a provider established in Rexburg, Idaho operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1740554237 assigned on February 2012. The practitioner's primary taxonomy code is 261Q00000X with license number W 110632 (ID). The provider is registered as an organization and their NPI record was last updated 5 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 Evelyn Rossi Vice President (Patient Financial Services)
- NPI
- 1740554237
- Provider Name
- COMMUNITY CARE REXBURG LLC
- Entity Type
- Organization
- Location Address
- 72 E MAIN ST REXBURG, ID 83440
- Location Phone
- (208) 525-8448
- Location Fax
- (208) 524-2749
- Mailing Address
- 72 E MAIN ST REXBURG, ID 83440
- Mailing Phone
- (208) 525-8448
- Mailing Fax
- (208) 524-2749
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-29-2012
- Last Update Date
- 01-25-2021
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- W 110632
- License State
- ID
- Taxonomy Description
- 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).
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) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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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. | |||||||||
| 1 | 7 | 4 | 0 | 5 | 5 | 4 | 2 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 10 | 5 | 8 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 0 + 5 + 8 + 2 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1740554237 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366488926 | TRENT E SHAW PA-C Individual | Physician Assistant (Medical) | 72 E MAIN ST REXBURG, ID 83440 (208) 359-1770 |
| 1972549137 | DAVID F DANIELS D.O. Individual | Family Medicine | 72 E MAIN ST REXBURG, ID 83440 (208) 359-1770 |
| 1659914802 | MOUNTAIN VIEW HOSPITAL LLC Organization | Family Medicine | 72 E MAIN ST REXBURG, ID 83440 (208) 359-1770 |
| 1184647307 | COMMUNITY CARE PLLC Organization | Family Medicine | 72 E MAIN ST REXBURG, ID 83440 (208) 359-1770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740554237, enumerated in the NPI registry as an "organization" on February 29, 2012
The provider is located at 72 E Main St Rexburg, Id 83440 and the phone number is (208) 525-8448
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on February 29, 2012. 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].
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