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COMMUNITY HEALTH CLINICS INC. NPI 1265979629


NPI Information

NPI: 1265979629
Provider Name: COMMUNITY HEALTH CLINICS, INC.

Doing Business As: TERRY REILLY HEALTH SERVICES

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

Specialization: Dental

CLIA Number: 13D0056614

Address:
207 1ST ST S
NAMPA, ID
ZIP 83651
Phone: (208) 466-7869
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COMMUNITY HEALTH CLINICS, INC. is a dental clinic center in Nampa, ID. COMMUNITY HEALTH CLINICS, INC. NPI is 1265979629. 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:

207 1ST ST S
NAMPA, ID
ZIP 83651-703
Phone: (208) 466-7869
Fax: (208) 466-5359

The provider's authorized official is Heidi Traylor .
The authorized official title is Ceo and has the following contact phone number (208) 467-4431.

The CLIA number assigned to this NPI record is 13D0056614 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/24/2017 and was last updated on 1/24/2017.


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: 11/14/2023

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