COMMUNITY HEALTH CLINICS INC (NPI# 1679677751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679677751 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINICS INC |
| Other Organization Name | TERRY REILLY HEALTH SERVICES LABORATORY |
| Practice Address |
223 16th Ave N Nampa ID 83687-4058 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2084667869 |
| Practice Fax Number | 2084665359 |
| Mailing Telephone | 2084674431 |
| Mailing Fax Number | 2084677684 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | MR. TIM BROWN (EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2084674431 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CLINICS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | CLIA | 13D0056614 | 01 |
| ID | CLIA-SATELLITES | 13D0890002 | 01 |
| Other Name | Type Code |
|---|---|
| Terry Reilly Health Services Laboratory | 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 |
223 16TH AVE N |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819509 | Julia Marie Jensen | Family Medicine | 223 16th Ave N, Nampa, ID 83687-4058 | 2005-05-27 |
| 1871136077 | Megan E Forster | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2019-10-21 |
| 1407408644 | Alicia Garber | Counselor | 223 16th Ave N, Nampa, ID 83687-4058 | 2019-07-09 |
| 1376028050 | Nichole Warner | Counselor | 223 16th Ave N, Nampa, ID 83687-4058 | 2018-09-28 |
| 1821540246 | Marisela Nunez | Counselor | 223 16th Ave N, Nampa, ID 83687 | 2016-11-02 |
| 1316499072 | Jesse Tangen | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2016-10-28 |
| 1932566874 | Jacqueline Baggs | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2016-01-22 |
| 1447625850 | Eliane Alabe Deblauw | Marriage & Family Therapist | 223 16th Ave N, Nampa, ID 83653-0009 | 2015-12-10 |
| 1255736781 | Jacob Murgoitio | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-10-27 |
| 1063825826 | Ashley Hammargren Freeman | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-06-09 |
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|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1831743228 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 215 E Hawaii Ave Ste B-100, Nampa, ID 83686-6011 | 2019-07-24 |
| 1518370212 | Medical Associates of Idaho, LLC | Clinical Medical Laboratory | 1208 11th St S, Nampa, ID 83651-4654 | 2014-06-10 |
| 1962537076 | Saltzer Medical Group Pa | Clinical Medical Laboratory | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2007-02-22 |
| 1780719898 | Saltzer Medical Group Pa | Clinical Medical Laboratory | 4400 E Flamingo Ave, Nampa, ID 83687-9203 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1730786328 | Idaho One Health Network, LLC | Clinical Medical Laboratory | 4455 S Meridian Rd, Meridian, ID 83642-6917 | 2020-10-06 |
| 1457984981 | Mini-cassia Misdemeanor | Clinical Medical Laboratory | 1359 Hansen Ave, Burley, ID 83318-1821 | 2020-02-12 |
| 1801390521 | Local Lab LLC | Clinical Medical Laboratory | 8382 N Wayne Dr Ste 201, Hayden, ID 83835-6028 | 2018-03-19 |
| 1326553421 | The Local Lab, LLC | Clinical Medical Laboratory | 8382 N Wayne Dr Ste 103, Hayden, ID 83835-6028 | 2017-12-11 |
| 1457722092 | Bear Tooth Laboratory, LLC | Clinical Medical Laboratory | 1125 E Pine Ave, Ste B, Meridian, ID 83642-5955 | 2015-10-08 |
| 1730550377 | Landbank Laboratories, LLC | Clinical Medical Laboratory | 1020 Land Bank St, Suite B, Idaho Falls, ID 83402-1809 | 2015-10-08 |
| 1629486311 | Julia Anne Sanford Biggerstaff | Clinical Medical Laboratory | 4355 W Emerald St, Suite 140, Boise, ID 83706-2050 | 2014-07-26 |
| 1194150003 | Absolute Drug Testing, LLC | Clinical Medical Laboratory | 5433 N Government Way, Suite B, Coeur D Alene, ID 83815-9259 | 2013-09-10 |
| 1730513888 | Global Drug Testing Labs | Clinical Medical Laboratory | 921 S Orchard St Ste A, Boise, ID 83705-1992 | 2013-08-26 |
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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.