Organization
COMMUNITY CARE WEST SIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCVEY CPC (OFFICE MANAGER)
(208) 525-2600
Entity
Organization
Contact information
Practice address
765 S UTAH AVE, IDAHO FALLS, ID 83402-5093
(208) 525-2600
(208) 525-2611
Mailing address
765 S UTAH AVE, IDAHO FALLS, ID 83402-5093
(208) 525-2600
(208) 525-2611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
04/05/2017
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