COMMUNITY COUNCIL OF IDAHO, INC.
Organization (NPI-2)
Active
Clinic/Center, Federally Qualified Health Center (FQHC)
Provider Information
- NPI Number
1356416861- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1491 PARKWAY DR, BLACKFOOT, ID, 832211667
- Phone
- (208) 782-0500
- Fax
- (844) 328-7224
Specialties & Taxonomies
Family Medicine
Clinic/Center, Federally Qualified Health Center (FQHC)
Primary