Organization Active NPI

Community Health Clinics, Inc.

Doing business as Terry Reilly Health Services

  • Community/Retail Pharmacy
  • Middleton, ID
National Provider Identifier
1225517055
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY HEALTH CLINICS, INC.
Doing business as
Terry Reilly Health Services
Terry Reilly Health Services Pharmacy
Practice address
201 S Paradise Ave
Middleton, ID 83644-5809
Phone
(208) 849-9070
Fax
(208) 510-5619
NPI assigned
Aug 13, 2018
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Holly Henggeler
Title
Pharmacy Director
Phone
(208) 318-1315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

201 S Paradise Ave
Middleton, ID 83644-5809

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 467-4431

Other names 2

  • Terry Reilly Health Services Doing business as
  • Terry Reilly Health Services Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Terry Reilly H CLC50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Locations

4085 E Greenhurst Rd
Nampa, ID 83686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1225517055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-467-4431",
            "fax_number": "208-467-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S PARADISE AVE",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445809",
            "telephone_number": "208-849-9070",
            "fax_number": "208-510-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "HENGGELER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "208-318-1315"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry Reilly Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terry Reilly Health Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.