Organization
COMMUNITY HEALTH CLINICS, INC.
Active
Other names
Terry Reilly Health Services, Allumbaugh House, Terry Reilly Health Services -Allumbaugh House
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD CURTIS (DIRECTOR OF REVENUE)
(208) 323-9613
Entity
Organization
Contact information
Practice address
400 N ALLUMBAUGH ST, BOISE, ID 83704-9209
(208) 377-9669
(208) 377-1028
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
291U00000X
Clinical Medical Laboratory
P1356
ID
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13D2002357
CLIA
ID
Enumeration date
02/05/2010
Last updated
02/06/2024
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