COMMUNITY HEALTH CLINIC INC. (NPI# 1326542705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326542705 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINIC INC. |
| Other Organization Name | TERRY REILLY HEALTH SERVICES |
| Practice Address |
8051 W Salt Creek Dr Boise ID 83709-5006 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2088545650 |
| Practice Fax Number | 2084673391 |
| Mailing Telephone | 2084674431 |
| Mailing Fax Number | 2084673391 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | BRIAN BALDWIN (CFO) |
| Authorized Official Telephone | 2084674431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Terry Reilly Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1942704234 | Community Health Clinic Inc. | Clinic/Center | 2824 E Victory Rd, Nampa, ID 83687-5138 | 2018-03-21 |
| 1073001699 | Community Health Clinic Inc. | Clinic/Center | 301 N 29th St, Boise, ID 83702-4625 | 2018-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CLINIC INC | 1113 Woodland Dr, Elizabethtown, KY 42701-2749 |
| Street Address |
8051 W SALT CREEK DR |
| City | BOISE |
| State | ID |
| Zip Code | 83709-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 1750885042 | Community Health Clinics, Inc. | Clinic/Center | 7701 W Northview St, Boise, ID 83704-5063 | 2018-03-21 |
| 1952756884 | Community Health Clinics, Inc. | Clinic/Center | 848 S La Cassia Dr, Boise, ID 83705-2253 | 2016-04-28 |
| 1508333246 | Community Health Clinics, Inc. | Clinic/Center | 2200 W Fairview Ave, Boise, ID 83702-6808 | 2018-10-31 |
| 1073001699 | Community Health Clinic Inc. | Clinic/Center | 301 N 29th St, Boise, ID 83702-4625 | 2018-04-30 |
| 1841490075 | The Family Medicine Residency of Idaho, Inc. | Clinic/Center | 777 N Raymond St, Boise, ID 83704 | 2007-07-25 |
| 1588678361 | Community Health Clinics Inc | Clinic/Center | 300 S 23rd St, Boise, ID 83702-4901 | 2006-07-28 |
| 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.