COMMUNITY HEALTH CLINICS INC (NPI# 1043230501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043230501 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINICS INC |
| Other Organization Name | TERRY REILLY HEALTH SERVICES, CALDWELL CLINIC |
| Practice Address |
2005 Arlington Ave Caldwell ID 83605-4808 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2084617149 |
| Mailing Telephone | 2084674431 |
| Mailing Fax Number | 2084677684 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-09-04 |
| Authorized Official Name | TIMOTHY BROWN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2084674431 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CLINICS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807572800 | 05 | |
| CIGNA MEDICARE | 1370519 | 01 | |
| ID | 807596300 | 05 |
| Other Name | Type Code |
|---|---|
| Terry Reilly Health Services, Caldwell Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1962788315 | Community Health Clinics Inc | Clinic/Center | 201 S Paradise Ave, Middleton, ID 83644-5809 | 2011-10-31 |
| 1598097263 | Community Health Clinics Inc | Clinical Medical Laboratory | 400 N Allumbaugh Street, Boise, ID 83704 | 2010-02-05 |
| 1851531388 | Community Health Clinics Inc | Clinic/Center | 516 N 11th Ave, Caldwell, ID 83605 | 2009-02-24 |
| 1245436427 | Community Health Clinics Inc | Clinic/Center | 116 E Idaho, Homedale, ID 83628 | 2007-06-25 |
| 1427254606 | Community Health Clinics Inc | Clinic/Center | 205 8th Ave W., Hwy 78, Marsing, ID 83639 | 2007-06-25 |
| 1871799056 | Community Health Clinics Inc | Clinic/Center | 848 La Cassia Dr, Boise, ID 83705-2253 | 2007-06-25 |
| 1386757235 | Community Health Clinics Inc | Clinic/Center | 108 E Idaho Ave, Homedale, ID 83628-5003 | 2006-08-16 |
| 1881602639 | Community Health Clinics Inc | Clinic/Center | 11136 Moss Lane, Nampa, ID 83687 | 2006-08-04 |
| 1689688459 | Community Health Clinics Inc | Clinic/Center | 1224 1st St S, Suite 103, Nampa, ID 83651-3900 | 2006-07-28 |
| Street Address |
2005 ARLINGTON AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833250 | Lance Joseph Buxton | Nurse Practitioner | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2006-04-27 |
| 1841803533 | Jacob Michelsen | Physician Assistant | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2020-08-24 |
| 1609362318 | Juanita G Layne | Nurse Practitioner | 2005 Arlington Ave, Caldwell, ID 83605 | 2018-07-05 |
| 1295266401 | Jacob Sup | Family Medicine | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2017-03-21 |
| 1710433859 | Jennifer Anne Sawmiller | Physician Assistant | 2005 Arlington Ave, Caldwell, ID 83605 | 2016-08-29 |
| 1669650743 | Community Health Clinics Inc | Counselor | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2008-01-31 |
| 1114123304 | Community Health Clinics Inc | Clinic/Center | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2007-06-25 |
| 1477642916 | Melinda Sue Hughes | Physician Assistant | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2006-10-12 |
| 1083667257 | Christine S Mcguire | Nurse Practitioner | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983546 | Community Health Clinics, Inc | Clinic/Center | 1102 Laster St, Caldwell, ID 83607-8594 | 2017-03-20 |
| 1851531388 | Community Health Clinics Inc | Clinic/Center | 516 N 11th Ave, Caldwell, ID 83605 | 2009-02-24 |
| 1831730076 | Ohio Hills Health Services | Clinic/Center | 44069 Marietta Rd, Caldwell, OH 43724-9124 | 2019-09-30 |
| 1831574276 | Community Health Clinics, Inc. | Clinic/Center | 802 Cleveland Blvd, Caldwell, ID 83605 | 2015-07-28 |
| 1871916981 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 302 W Highway 21, Caldwell, TX 77836-1122 | 2014-01-24 |
| 1609150465 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2011-09-28 |
| 1114123304 | Community Health Clinics Inc | Clinic/Center | 2005 Arlington Ave, Caldwell, ID 83605-4808 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547801 | Health West, Inc. | Clinic/Center | 1001 N 7th Ave Ste 135, Pocatello, ID 83201-5761 | 2020-01-21 |
| 1861046039 | Health West, Inc. | Clinic/Center | 17400 N Hiline Rd, Pocatello, ID 83202-1669 | 2019-07-26 |
| 1518519255 | Health West Inc. | Clinic/Center | 911 N Grant Ave, Pocatello, ID 83204-2847 | 2019-07-12 |
| 1043794001 | Community Health Clinics, Inc. | Clinic/Center | 506 Fletcher Dr, Nampa, ID 83686-8854 | 2018-09-17 |
| 1972082675 | Community Health Clinics, Inc. | Clinic/Center | 1670 N Linder Rd, Kuna, ID 83634-3032 | 2018-08-13 |
| 1841779667 | Community Health Clinics, Inc. | Clinic/Center | 610 N School Ave, Kuna, ID 83634-1807 | 2018-08-13 |
| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
| 1982183687 | Community Health Clinics, Inc. | Clinic/Center | 301 S Happy Valley Rd, Nampa, ID 83687-8828 | 2018-08-13 |
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1912401381 | Community Health Clinic Inc. | Clinic/Center | 700 N Star Rd, Star, ID 83669-5417 | 2018-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.