Cc Pocatello LLC
NPI 1538517156 · Family Medicine Physician · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cc Pocatello LLC is a Family Medicine Physician organization in Pocatello, ID (NPI 1538517156).
Provider details
- NPI number
- 1538517156
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mountain View Hospital LLC
- Organization subpart
- Yes
- Authorized official
- Joshua Tolman, Cao(208) 557-2700
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
10 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
Other names (DBA / former)
- Doing business as
- Community Care Pocatello
Registry dates
- Enumerated
- 2016-05-25
- Last updated
- 2016-05-25
Frequently asked questions
- What is Cc Pocatello LLC's NPI number?
- Cc Pocatello LLC's National Provider Identifier (NPI) is 1538517156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cc Pocatello LLC?
- Cc Pocatello LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cc Pocatello LLC located?
- Cc Pocatello LLC's practice location on file with NPPES is 1595 Yellowstone Ave, Pocatello, ID 83201-4203.
- What is Cc Pocatello LLC's phone number?
- The practice phone number listed in the NPPES registry for Cc Pocatello LLC is (208) 233-0032.
- Does Cc Pocatello LLC accept Medicare?
- Cc Pocatello LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cc Pocatello LLC?
- The authorized official listed on Cc Pocatello LLC's NPPES record is Joshua Tolman, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cc Pocatello LLC's NPI active?
- Yes — Cc Pocatello LLC's NPI (1538517156) is active in the NPPES registry as of the last update on 2016-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.