| 24 Community Care Pllc | |
|
3544 E 17th St Suite 201 Ammon ID 83406-6911 | |
| (208) 524-0685 | |
| (208) 524-0686 |
| Full Name | 24 Community Care Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3544 E 17th St, Ammon, Idaho |
| Authorized Official Name and Position | Colby Coombs (OWNER) |
| Authorized Official Contact | 2085240685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 24 Community Care Pllc 3544 E 17th St Suite 201 Ammon ID 83406-6911 Ph: (208) 524-0685 | 24 Community Care Pllc 3544 E 17th St Suite 201 Ammon ID 83406-6911 Ph: (208) 524-0685 |
| NPI Number | 1740677871 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 04/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740677871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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› Verified 7 days ago
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