NPIMap

Organization Active NPI

Community Health Clinics, Inc.

  • Substance Abuse Rehabilitation Facility
  • Boise, ID
National Provider Identifier
1598097263
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COMMUNITY HEALTH CLINICS, INC.
Practice address
400 N Allumbaugh St
Boise, ID 83704-9209
Phone
(208) 377-9669
Fax
(208) 377-1028
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Donald Curtis
Title
Director of Revenue
Phone
(208) 323-9613

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Clinical Medical Laboratory 291U00000X P1356 ID
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

400 N Allumbaugh St
Boise, ID 83704-9209

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 461-7149

Other identifiers 1

IdentifierTypeStateIssuer
13D2002357OtherIDCLIA

Other names 3

  • Terry Reilly Health Services Doing business as
  • Terry Reilly Health Services -Allumbaugh House Doing business as
  • Allumbaugh House Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20221028002502 ID Part A Provider - Federally Qualified Health Center (FQHC) 4082527353 Practice locations: Boise, ID

Federally qualified health center certification: CCN 131010

Legal name
COMMUNITY HEALTH CLINICS INC
Doing business as
TERRY REILLY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2022
Last certification
Oct 27, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 16, 1971 in ID
Enrollment address
400 N Allumbaugh St
Boise, ID 83704-9209

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Community Health Clinics Inc50 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

300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jen Fulton Individual Corporate DirectorBoard Member Aug 31, 2022
Neva Miller Individual Corporate DirectorBoard Member Aug 31, 2022
John S Kriz Individual Corporate DirectorBoard Member Aug 31, 2022
Silvia Morrow Individual Corporate DirectorBoard Member Aug 31, 2022
Erik S Johnson Individual Corporate DirectorBoard Member Aug 31, 2022
Richard Gardner Individual Corporate DirectorBoard Member Aug 31, 2022
Marisol Cervantes Individual Corporate DirectorBoard Member Aug 31, 2022
Rosie Delgadillo Reilly Individual Corporate DirectorBoard Member Aug 31, 2022
Heidi Traylor Individual Corporate OfficerCeo Jun 6, 2014
Donald Curtis Individual W-2 Managing EmployeeDirector of Revenue Jul 10, 2023
Operational/Managerial ControlDirector of Revenue Jul 10, 2023
Robyn Page Individual Corporate DirectorSecretary Aug 31, 2022
Charles Knox Individual Corporate DirectorVice-Chairperson Aug 31, 2022
Kirsten E Szabo Individual Corporate OfficerCfo May 2, 2022
Deanna Watson Individual Corporate DirectorBoard Member Aug 31, 2022
Robert Eldredge Individual Corporate DirectorBoard Member Aug 31, 2022
Kerrie Smith Individual Corporate DirectorBoard Member Aug 31, 2022
Roger Aguilar Individual Corporate DirectorChairperson Aug 31, 2022
Joseph L. Papiez Individual Corporate DirectorBoard Member Aug 31, 2022
David Hall Individual Corporate DirectorBoard Member Aug 31, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1598097263",
    "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": "208-461-7149",
            "fax_number": "208-467-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049209",
            "telephone_number": "208-377-9669",
            "fax_number": "208-377-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "208-323-9613"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "P1356",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "13D2002357",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry Reilly Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terry Reilly Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terry Reilly Health Services -Allumbaugh House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allumbaugh House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.