Organization
COMMUNITY CARE REXBURG LLC
Active
Organization
COMMUNITY CARE REXBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN ROSSI VICE PRESIDENT (PATIENT FINANCIAL SERVICES)
(208) 557-2716
Entity
Organization
Contact information
Practice address
72 E MAIN ST, REXBURG, ID 83440-1926
(208) 525-8448
(208) 524-2749
Mailing address
72 E MAIN ST, REXBURG, ID 83440-1926
(208) 525-8448
(208) 524-2749
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
W 110632
ID
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/29/2012
Last updated
01/25/2021
Update your record
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