Community Care, PLLC
NPI 1720312242ActiveOrganization· Physician Assistant· Idaho Falls, ID
Physician Assistant in Idaho Falls, Idaho, registered in NPPES in September 2009. The authorized official on file is Brittany Russell, Administrator.
Overview
| NPI | 1720312242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2009 |
| Last updated in NPPES | Sep 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA-819 | ID |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Idaho Falls
- 1548145162
- 1265635346
- 1437495041
- 1477750032
- 1891188348
- 1669543450
- 1548594062
- 1386699833
- 1093281016
- 1891048633
- 1851935662
- 1295544344