Community Health Clinics, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Nampa, ID
NPI 1851531388 · NPPES record last updated Dec 31, 2025
Key facts
- NPI
- 1851531388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH CLINICS, INC.
- Practice address
- 156 McClure Ave
Nampa, ID 83651-2025 - Phone
- (208) 323-9600
- Fax
- (208) 345-3502
- NPI assigned
- Feb 24, 2009
- Organization subpart
- No
Authorized official
- Name
- Donald Curtis
- Title
- Director of Revenue
- Phone
- (208) 323-9613
Owners & managing parties with NPI records 1
-
John Stanley Kriz, DDS
Other NPIs on the same Medicare enrollment 18
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 49
Practitioners 86
-
Rick A Yavruian, DO
-
Ana Maria Machuca, LCSW
-
Jennifer Padilla, LPC
-
Daryn J. Barnes, PA-C
-
Andrew R Baron, MD
-
Amy Jo Bizik, PMHNP
-
Brian Keith Bizik, P.A.
-
Stuart Black, M.D.
-
Tiffany Brackus, FNP
-
Carolyn Buxton Bridges, M.D.
-
Lance Joseph Buxton, N.P.
-
Lucy Camacho, PA-C
-
Krysta Nicole Carlson, PA-C
-
Susanne Judith Carroll, LCSW
-
Kate Clark, FNP
-
Scott R Coleman, PA-C
-
Andrew Reed Crawford, PA-C
-
Lisa L Dockter, MD
-
Irene Duffy, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID
Federally qualified health center certification: CCN 131039
- 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 30, 2023
- Last certification
- Aug 30, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 7, 1973 in ID
- Enrollment address
- 156 McClure Ave
Nampa, ID 83651-2025
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Jen Fulton |
Corporate Director |
Aug 31, 2022 | |
| Neva Miller |
Corporate Director |
Aug 31, 2022 | |
| John S Kriz |
Corporate Director |
Aug 31, 2022 | |
| Silvia Morrow |
Corporate Director |
Aug 31, 2022 | |
| Erik S Johnson |
Corporate Director |
Aug 31, 2022 | |
| Richard Gardner |
Corporate Director |
Aug 31, 2022 | |
| Marisol Cervantes |
Corporate Director |
Aug 31, 2022 | |
| Rosie Delgadillo Reilly |
Corporate Director |
Aug 31, 2022 | |
| Heidi Traylor |
Corporate Officer |
Jun 6, 2014 | |
| Donald Curtis |
W-2 Managing Employee |
Jul 10, 2023 | |
| Operational/Managerial Control |
Jul 10, 2023 | ||
| Robyn Page |
Corporate Director |
Aug 31, 2022 | |
| Charles Knox |
Corporate Director |
Aug 31, 2022 | |
| Kirsten E Szabo |
Corporate Officer |
May 2, 2022 | |
| Deanna Watson |
Corporate Director |
Aug 31, 2022 | |
| Robert Eldredge |
Corporate Director |
Aug 31, 2022 | |
| Kerrie Smith |
Corporate Director |
Aug 31, 2022 | |
| Roger Aguilar |
Corporate Director |
Aug 31, 2022 | |
| Joseph L. Papiez |
Corporate Director |
Aug 31, 2022 | |
| David Hall |
Corporate Director |
Aug 31, 2022 |
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 |
| O20230914003124 | ID | Part a Provider - Federally Qualified Health Center (FQHC) | 4082527353 | Practice locations: Nampa, ID |
National Provider Directory
- Tax ID family
- Community Health Clinics Inc
Locations
516 N 11th Ave
Caldwell, ID 83605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Professional Counselor |
101YP2500X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
156 McClure Ave
Nampa, ID 83651-2025
Mailing address
PO Box 9
Nampa, ID 83653-0009
Phone (208) 461-7149
Other names
- Terry Reilly Health Services
- Terry Reilly Health Services -McClure Clinic
NPI Registry JSON
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767139200000",
"number": "1851531388",
"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": "156 MCCLURE AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836512025",
"telephone_number": "208-323-9600",
"fax_number": "208-345-3502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CLINICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-24",
"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": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"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 -McClure Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Outreach Counseling LLC
- Community Partnerships of Idaho, Inc.
- Community Pathways Services LLC
- Compass Solutions, PLLC
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 Dec 31, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.