NPIMap

Organization Active NPI

Community Health Clinics, Inc.

Doing business as Terry Reilly Health Services

  • Federally Qualified Health Center (FQHC)
  • Caldwell, ID
National Provider Identifier
1831574276
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CLINICS, INC.
Doing business as
Terry Reilly Health Services
Terry Reilly Health Services -Cleveland Clinic
Practice address
808 Cleveland Blvd
Caldwell, ID 83605-4168
Phone
(208) 459-1025
Fax
(208) 466-5359
NPI assigned
Jul 28, 2015
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X ID Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X

Addresses

Primary practice location

808 Cleveland Blvd
Caldwell, ID 83605-4168

Mailing address

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

Other names 2

  • Terry Reilly Health Services Doing business as
  • Terry Reilly Health Services -Cleveland Clinic Doing business as

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
O20151007002341 ID Part A Provider - Federally Qualified Health Center (FQHC) 4082527353 Practice locations: Caldwell, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831574276. Details of each certification follow.

Federally qualified health center certification: CCN 131863

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
Aug 24, 2015
Last certification
Aug 24, 2015
Ownership / control type
Non-profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 16, 1971 in ID
Enrollment address
808 Cleveland Blvd
Caldwell, ID 83605-4149

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

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 Dec 5, 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 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1831574276",
    "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": "808 CLEVELAND BLVD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054168",
            "telephone_number": "208-459-1025",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 -Cleveland Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.