Community Care PLLC
NPI 1205846425 · Family Medicine Physician · Idaho Falls, ID
Community Care PLLC is a Family Medicine Physician organization in Idaho Falls, ID (NPI 1205846425).
Provider details
- NPI number
- 1205846425
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Peterson, Deo(208) 525-8448
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Community Care PLLC's NPI number?
- Community Care PLLC's National Provider Identifier (NPI) is 1205846425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care PLLC?
- Community Care PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Community Care PLLC located?
- Community Care PLLC's practice location on file with NPPES is 1995 E 17th St, Idaho Falls, ID 83404-6493.
- What is Community Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Community Care PLLC is (208) 529-5252.
- Who is the authorized official for Community Care PLLC?
- The authorized official listed on Community Care PLLC's NPPES record is Ryan Peterson, Deo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care PLLC's NPI active?
- Yes — Community Care PLLC's NPI (1205846425) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.