Community Care Rexburg LLC
NPI 1740554237ActiveOrganization· Clinic/Center· Rexburg, ID
Clinic/Center in Rexburg, Idaho, registered in NPPES in February 2012. The authorized official on file is Evelyn Rossi, VICE PRESIDENT, Patient Financial Services.
Overview
| NPI | 1740554237 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 29, 2012 |
| Last updated in NPPES | Jan 25, 2021 |
| Certified by provider | Jan 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | W 110632 | ID |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 Clinic/Center providers in Rexburg
- 1124807011
- 1538347034