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COMMUNITY HEALTH CLINICS INC. NPI 1073001699


NPI Information

NPI: 1073001699
Provider Name: COMMUNITY HEALTH CLINICS, INC.

Doing Business As: TERRY REILLY HEALTH SERVICES

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 13D2219508

Address:
3115 E FLORENCE DR
MERIDIAN, ID
ZIP 83642
Phone: (208) 991-2963
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COMMUNITY HEALTH CLINICS, INC. is a dental clinic center in Meridian, ID. COMMUNITY HEALTH CLINICS, INC. NPI is 1073001699. The provider is registered as an organization entity type.
The provider Is Doing Business As Terry Reilly Health Services.

The provider's business location address is:

3115 E FLORENCE DR
MERIDIAN, ID
ZIP 83642-586
Phone: (208) 991-2963
Fax: (208) 466-5359

The provider's authorized official is Donald Curtis .
The authorized official title is Director Of Revenue and has the following contact phone number (208) 323-9613.

The CLIA number assigned to this NPI record is 13D2219508 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 2/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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