COMMUNITY HEALTH CLINIC INC. (NPI# 1912401381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912401381 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CLINIC INC. |
| Other Organization Name | TERRY REILLY HEALTH SERVICES |
| Practice Address |
700 N Star Rd Star ID 83669-5417 |
| Mailing Address |
Po Box 9 Nampa ID 83653-0009 |
| Practice Telephone | 2088554110 |
| 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 |
| 1942704234 | Community Health Clinic Inc. | Clinic/Center | 2824 E Victory Rd, Nampa, ID 83687-5138 | 2018-03-21 |
| 1326542705 | Community Health Clinic Inc. | Clinic/Center | 8051 W Salt Creek Dr, Boise, ID 83709-5006 | 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 |
700 N STAR RD |
| City | STAR |
| State | ID |
| Zip Code | 83669-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999377 | Bi-mart Corporation | Pharmacy | 11347 W State Street, Star, ID 83669 | 2018-04-11 |
| 1285014779 | Boise River Physical Therapy | Physical Therapist | 64 S Star Road, Suite 2, Star, ID 83669 | 2015-06-01 |
| 1003250754 | Carol Tidwell | Counselor | 11104 W State St, Star, ID 83669 | 2013-04-24 |
| 1780816652 | Mark Olsen | Dentist | 12192 Evely Pines Ln, Star, ID 83669 | 2009-08-11 |
| 1770759912 | Richard E. Adams | Chiropractor | 11231 W Hercules Dr A, Star, ID 83669 | 2008-05-07 |
| 1861674707 | Keen Eye Vision Pllc | Optometrist | 170 South Seneca Springs Way, Suite 100, Star, ID 83669 | 2007-12-03 |
| 1639358773 | Natural Smile Dental Pllc | Dentist | 10706 W State St, Suite 105, Star, ID 83669 | 2007-10-25 |
| 1659566727 | Allied Mental Health Services, P.l.l.c. | Case Management | 11104 W. State St., Star, ID 83669 | 2007-09-11 |
| 1972709103 | Martin A Mangan | Family Medicine | 10717 W State Street, Star, ID 83669 | 2007-06-25 |
| 1699021246 | Leslie Leet | Social Worker | 246 N Main St, Star, ID 83669 | 2012-08-01 |
| Find all providers in zip 83669 | ||||
| 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 |
|---|---|---|---|---|
| 1629334016 | Robeson Health Care Corporation | Clinic/Center | 103 Cotton Creek Rd, Star, NC 27356 | 2012-04-10 |
| 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 |
| 1669976957 | Community Health Clinics, Inc | Clinic/Center | 6870 Stokes Ave, Melba, ID 83641-5175 | 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.