Community Care Pocatello Pllc

LBN: Community Care Pocatello Pllc
Community Care Pocatello Pllc is an health care organization with primary practice located at 1595 Yellowstone Ave , Pocatello ID 83201-4203. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Community Care Pocatello Pllc can be contacted via phone (208) 233-0032, or through Campbell, Derek via phone (208) 233-0032.

Contact Information

Primary practice address
1595 Yellowstone Ave Pocatello ID 83201-4203
Phone: (208) 233-0032
Fax: (208) 237-9171
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Derek Doctor of Osteopathy (DO)
Phone: (208) 233-0032

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1265714760
LBN Legal business name Community Care Pocatello Pllc
DBA Doing business as
Authorized official Campbell, Derek Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2011
Last updated Sep 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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