Community Health Clinics, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Nampa, ID
NPI 1477560654 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1477560654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH CLINICS, INC.
- Practice address
- 211 16TH Ave N
Nampa, ID 83687-4058 - Phone
- (208) 467-4431
- Fax
- (208) 466-5359
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald Curtis
- Title
- Director of Revenue
- Phone
- (208) 323-9613
Other NPIs on the same Medicare enrollment 18
Corporate family (same tax ID) 49
Practitioners 7
-
Brady G Hamilton, PA-C
-
Christopher Partridge, M.D.
-
Jessica Martinez, LMSW
-
Mark Allen McCullough, LCSW
-
Alexandra Mendez, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000055 | ID | Part B Supplier - Clinic/Group Practice | 4082527353 |
Receives reassigned benefits from 91 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boise, ID; Nampa, ID; Middleton, ID; Meridian, ID; Melba, ID; Marsing, ID; Homedale, ID; Caldwell, ID |
National Provider Directory
- Tax ID family
- Community Health Clinics Inc
Locations
108 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3189
3115 E Florence Dr
Meridian, ID 83642
Phone (208) 378-4288
1538 Emmett Rd
Middleton, ID 83644
223 16th Ave N
Nampa, ID 83687
Phone (208) 318-1376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | |||
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
211 16TH Ave N
Nampa, ID 83687-4058
Mailing address
PO Box 9
Nampa, ID 83653-0009
Phone (208) 461-7149
Other names
- Terry Reilly Health Services
Other providers in Nampa, ID
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
All providers in Nampa, ID · Federally Qualified Health Center (FQHC) in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.