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Community Care Channing Way Llc
Clinic/Center in Idaho Falls, Idaho
NPI 1841564333

Community Care Channing Way Llc is a Clinic/Center based in Idaho Falls, ID. Community Care Channing Way Llc practices in Idaho Falls, ID. The NPI Number for Community Care Channing Way Llc is 1841564333 and holds a License No. W 110635 (Idaho).

The current practice location address for Community Care Channing Way Llc is 2725 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-525-8448 and via fax at 208-525-8118.

Location: 2725 Channing Way, Idaho Falls, ID, 83404-7510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841564333
Provider Name
Community Care Channing Way Llc
Credential
Provider Entity Type
Organization
Address
2725 Channing Way, Idaho Falls, ID, 83404-7510
Phone Number
208-525-8448
Fax Number
208-525-8118
Provider Enumeration Date
02/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2725 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7510
Phone Number
208-525-8448
Fax Number
208-525-8118
person
Provider Business Mailing Address Details
Address
2725 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7510
Phone Number
208-525-8448
Fax Number
208-525-8118
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
W 110635 (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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