Community Care West Side LLC
NPI 1295009785ActiveOrganization· Family Medicine· Idaho Falls, ID
Family Medicine in Idaho Falls, Idaho, registered in NPPES in February 2012. The authorized official on file is Heather McVey, CPC, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295009785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 29, 2012 |
| Last updated in NPPES | Apr 5, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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