COMMUNITY HEALTH CLINICS, INC (NPI# 1669976957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669976957 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINICS, INC |
| Other Organization Name | TERRY REILLY HEALTH SERVICES |
| Practice Address |
6870 Stokes Ave Melba ID 83641-5175 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2084952221 |
| 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 | 2083181242 |
| 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 |
|---|---|---|---|---|
| 1366983546 | Community Health Clinics, Inc | Clinic/Center | 1102 Laster St, Caldwell, ID 83607-8594 | 2017-03-20 |
| 1770687188 | Community Health Clinics, Inc | Pharmacy | 223 16th Ave N, Nampa, ID 83687-4058 | 2006-09-08 |
| Street Address |
6870 STOKES AVE |
| City | MELBA |
| State | ID |
| Zip Code | 83641-5175 |
| 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 |
| 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 |
| 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 |
| Find all providers in zip 83641 | ||||
| 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 |
| 1225234578 | Community Health Clinics Inc | Clinic/Center | 150 2nd St, Melba, ID 83641-5199 | 2007-06-25 |
| 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 |
| 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.