COMMUNITY HEALTH CLINICS, INC. (NPI# 1669616272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669616272 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINICS, INC. |
| Other Organization Name | TERRY REILLY HEALTH SERVICES |
| Practice Address |
300 S 23rd St Boise ID 83702-9100 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2083181376 |
| Practice Fax Number | 2084656414 |
| Mailing Telephone | 2084674431 |
| Mailing Fax Number | 2084677684 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | CHRISTINA JO ZIMMERMAN (PFS MANAGER) |
| Authorized Official Telephone | 2084617149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Terry Reilly Health Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1717 Arlington Ave, Caldwell, ID 836054802 | 2084617149 | 2084673391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1154599124 | Community Health Clinics, Inc. | Clinic/Center | 215 12th Ave S, Nampa, ID 83651 | 2008-02-13 |
| 1508333246 | Community Health Clinics, Inc. | Clinic/Center | 2200 W Fairview Ave, Boise, ID 83702-6808 | 2018-10-31 |
| 1073092771 | Community Health Clinics, Inc. | Clinic/Center | 400 N Allumbaugh St, Boise, ID 83704-9209 | 2018-08-13 |
| Street Address |
300 S 23RD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132479 | Vivek Kantayya | Family Medicine | 300 S 23rd St, Boise, ID 83702-9100 | 2005-11-23 |
| 1639716236 | Wayne Nubile | Counselor | 300 S 23rd St, Boise, ID 83702-9100 | 2019-12-03 |
| 1487299129 | Dusty L Orr | Social Worker | 300 S 23rd St, Boise, ID 83702-9100 | 2019-11-15 |
| 1902459266 | Melissa Adele Wren Perry | Nurse Practitioner | 300 S 23rd St, Boise, ID 83702-9100 | 2019-07-16 |
| 1235613688 | Devin R Pugmire | Peer Specialist | 300 S 23rd St, Boise, ID 83702-9100 | 2018-09-21 |
| 1386128726 | Samantha Joseph | Social Worker | 300 S 23rd St, Boise, ID 83702-9100 | 2018-09-21 |
| 1023599586 | Joseph P Digrazia | Counselor | 300 S 23rd St, Boise, ID 83702-9100 | 2018-08-23 |
| 1790263234 | Stephanie M. Meeks | Social Worker | 300 S 23rd St, Boise, ID 83702-9100 | 2018-08-06 |
| 1205322310 | Brian Lee Collins | Social Worker | 300 S 23rd St, Boise, ID 83702-9100 | 2018-07-02 |
| 1972982437 | Matthew Todd Posluszny | Social Worker | 300 S 23rd St, Boise, ID 83702-9100 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035689 | Allergy Butler, LLC | Pharmacy | 1611 12th Ave Rd Ste A, Nampa, ID 83686-6182 | 2020-08-25 |
| 1922312842 | Teton Valley Hospital Pharmacy | Pharmacy | 120 East Howard Ave., Driggs, ID 83422-5112 | 2010-08-03 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1740717693 | Snake River Pharmacy | Pharmacy | 4750 Yellowstone Ave, Chubbuck, ID 83202-2336 | 2017-05-22 |
| 1184163511 | Bear Lake Community Health Center Pharmacy - 340b | Pharmacy | 152 S 4th St, Montpelier, ID 83254-1538 | 2017-02-17 |
| 1942615828 | Family Health Services Pharmacy | Pharmacy | 388 Martin Street, Family Health Services Pharmacy, Twin Falls, ID 83301-6856 | 2014-06-30 |
| 1316156482 | Community Health Clinics, Inc. | Pharmacy | 802 Cleveland Blvd, Caldwell, ID 83605 | 2007-05-22 |
| 1770687188 | Community Health Clinics, Inc | Pharmacy | 223 16th Ave N, Nampa, ID 83687-4058 | 2006-09-08 |
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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.