OrganizationActive
Community Care Channing Way LLC
NPI 1841564333 · Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1841564333
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evelyn Rossi, Patient Financial Services(208) 557-2716
- License
- W 110635 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2725 Channing Way
Idaho Falls, ID 83404-7510
Phone: (208) 525-8448
Fax: (208) 525-8118
Street-level locationGet directions
Mailing address
2725 Channing Way
Idaho Falls, ID 83404-7510
Registry dates
- Enumerated
- 2012-02-29
- Last updated
- 2012-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.