| Consumer Care Llc | |
|
645 W Clark St Pocatello ID 83204-3141 | |
| (208) 234-9361 | |
| (208) 909-2662 |
| Full Name | Consumer Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 645 W Clark St, Pocatello, Idaho |
| Authorized Official Name and Position | Heidi Rasmussen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2082264637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consumer Care Llc 1133 N Main St Pocatello ID 83204-2717 Ph: (208) 234-9361 | Consumer Care Llc 645 W Clark St Pocatello ID 83204-3141 Ph: (208) 234-9361 |
| NPI Number | 1619090628 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 06/20/2025 |
| Certification Date | 05/23/2025 |
| Medicare PECOS PAC ID | 5395998124 |
|---|---|
| Medicare Enrollment ID | O20130103000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619090628 | NPI | - | NPPES |
| 8055295 | Medicaid | ID | |
| 8055566 | Medicaid | ID | |
| 8055528 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marcia D Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134359607 PECOS PAC ID: 3072652585 Enrollment ID: I20091123000205 |
| Provider Name | Jennifer Marie Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083017578 PECOS PAC ID: 3577826692 Enrollment ID: I20180424000616 |
| Provider Name | Heidi Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982253506 PECOS PAC ID: 8921495920 Enrollment ID: I20221017002153 |
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