COMMUNITY HEALTH CLINICS INC (NPI# 1225234578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225234578 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINICS INC |
| Other Organization Name | TERRY REILLY HEALTH SERVICES |
| Practice Address |
150 2nd St Melba ID 83641-5199 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2084951011 |
| Practice Fax Number | 2084951012 |
| Mailing Telephone | 2084674431 |
| Mailing Fax Number | 2084677684 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | ERWIN B TEUBER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2084674431 |
| Authorized Official Credential | PH.D. |
| 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 | 8063471 | 05 |
| Other Name | Type Code |
|---|---|
| Terry Reilly Health Services | 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 |
150 2ND ST |
| City | MELBA |
| State | ID |
| Zip Code | 83641-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824640 | Suhrei Acevedo-daniels | Family Medicine | 150 2nd St, Melba, ID 83641-5199 | 2006-05-01 |
| 1538673769 | Melissa Myers Smith | Counselor | 150 2nd St, Melba, ID 83641-5199 | 2017-11-27 |
| 1154527331 | Community Health Clinics Inc | Clinic/Center | 150 2nd St, Melba, ID 83641-5199 | 2007-06-25 |
| 1225247398 | Community Health Clinics Inc | Clinical Medical Laboratory | 150 2nd St, Melba, ID 83641-5199 | 2007-05-22 |
| 1518173962 | Community Health Clinics Inc | Clinic/Center | 150 2nd St, Melba, ID 83641-5199 | 2007-05-15 |
| 1487879292 | Anneliese Taylor Haws | Dentist | 150 2nd St, Melba, ID 83641-5199 | 2007-04-16 |
| 1043221807 | Drostan N Orme | Dentist | 150 2nd St, Box 218, Melba, ID 83641-5199 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1740239185 | Dan L Watt | Dentist | 150 2nd Avenue, Melba, ID 83641 | 2006-05-10 |
| 1003877986 | Terry Leonard Lewis | Physician Assistant | 150 2nd Ave, Melba, ID 83641 | 2006-03-30 |
| 1053458547 | County of Canyon School District Class B 136j | Local Education Agency (LEA) | 520 Broadway Ave, Melba, ID 83641 | 2007-01-31 |
| 1578574521 | Community Health Clinics Inc | Clinic/Center | 150 2nd Avenue, Melba, ID 83641 | 2006-08-11 |
| 1467964064 | Shanna Renee Dewey | Doula | 8274 Birmingham Rd, Melba, ID 83641-4210 | 2017-11-04 |
| 1669976957 | Community Health Clinics, Inc | Clinic/Center | 6870 Stokes Ave, Melba, ID 83641-5175 | 2018-03-21 |
| 1891197190 | Danielle H Bradshaw | Counselor | 104 Murphy Rd Ste 100a, Melba, ID 83641-5184 | 2014-09-18 |
| 1477029577 | Custom Rx LLC | Pharmacy | 112 4th St, Melba, ID 83641-5197 | 2018-10-17 |
| 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 |
|---|---|---|---|---|
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1669976957 | Community Health Clinics, Inc | Clinic/Center | 6870 Stokes Ave, Melba, ID 83641-5175 | 2018-03-21 |
| 1578574521 | Community Health Clinics Inc | Clinic/Center | 150 2nd Avenue, Melba, ID 83641 | 2006-08-11 |
| 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 |
| 1912401381 | Community Health Clinic Inc. | Clinic/Center | 700 N Star Rd, Star, ID 83669-5417 | 2018-03-21 |
| 1942704234 | Community Health Clinic Inc. | Clinic/Center | 2824 E Victory Rd, Nampa, ID 83687-5138 | 2018-03-21 |
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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.