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COMMUNITY HEALTH CLINICS INC NPI 1689688459


NPI Information

NPI: 1689688459
Provider Name: COMMUNITY HEALTH CLINICS INC

Doing Business As: TERRY REILLY HEALTH SERVICES SANE CO

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1504 3RD ST N
NAMPA, ID
ZIP 83687
Phone: (208) 345-1170
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COMMUNITY HEALTH CLINICS INC is a federally qualified health center (fqhc) clinic center in Nampa, ID. COMMUNITY HEALTH CLINICS INC NPI is 1689688459. The provider is registered as an organization entity type.
The provider Is Doing Business As Terry Reilly Health Services Sane Co.

The provider's business location address is:

1504 3RD ST N
NAMPA, ID
ZIP 83687-035
Phone: (208) 345-1170
Fax: (208) 463-4390

The provider's authorized official is Christina Jo Zimmerman .
The authorized official title is Patient Financial Services Manager and has the following contact phone number (208) 318-1215.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 12/17/2021.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002374903MEDICAIDIDAHO

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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