OrganizationActive
Community Council of Idaho, Inc.
NPI 1356416861 · Federally Qualified Health Center (FQHC) · Blackfoot, ID
Provider details
- NPI number
- 1356416861
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Arnold Cantu, Clinic Administrator(208) 528-7655
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
1491 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 782-0500
Fax: (844) 328-7224
Street-level locationGet directions
Mailing address
2100 Alan St
Idaho Falls, ID 83404-5801
Other names (DBA / former)
- Doing business as
- Community Family Clinic
- Doing business as
- Community Family Clinic
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.