Organization
COMMUNITY COUNCIL OF IDAHO, INC.
Active
Other names
Rigby Community Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN VILLEGAS (MEDICAL BILLING SPECIALIST)
(208) 528-7655
Entity
Organization
Contact information
Practice address
4002 E 397 N, RIGBY, ID 83442
(208) 528-7655
(208) 524-9390
Mailing address
2100 ALAN ST, IDAHO FALLS, ID 83404
(208) 528-7655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
11/13/2023
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