| NPI | 1962092551 |
|---|---|
| Doing Business As | COMMUNITY CARE REXBURG |
| Entity Type | Organization |
| Authorized Contact | NED W HILLYARD Cco 208-709-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-11-20 |