COMMUNITY HEALTH CLINICS INC NPI 1457309122

NPI Information

NPI: 1457309122
Provider Name: COMMUNITY HEALTH CLINICS INC

Doing Business As: TERRY REILLY HEALTH SERVICES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
223 16TH AVE N
NAMPA, ID
ZIP 83687
Phone: (208) 466-7869
Get Directions

COMMUNITY HEALTH CLINICS INC is a federally qualified health center (fqhc) clinic center in Nampa, ID. COMMUNITY HEALTH CLINICS INC NPI is 1457309122. 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:

223 16TH AVE N
NAMPA, ID
ZIP 83687-058
Phone: (208) 466-7869
Fax: (208) 466-5359

The provider's authorized official is Erwin B Teuber .
The authorized official title is Executive Director and has the following contact phone number (208) 467-4431.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/14/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	806224700	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	1370519	MEDICARE PIN
2	1370519	OTHER	CIGNA MEDICARE
3	131809	MEDICARE ID-TYPE UNSPECIFIED	NATIONAL GOVERNMENT SERVI

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

NPI Synchronization or Removal

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