Community Health Clinics, Inc.
Organization Active NPI Community/Retail Pharmacy · Boise, ID
NPI 1992501498 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1992501498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- COMMUNITY HEALTH CLINICS, INC.
- Practice address
- 300 S 23Rd St
Boise, ID 83702-9100 - Phone
- (208) 318-1396
- Fax
- (208) 803-0214
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Holly Henggeler, PHARMD
- Title
- Pharmacy Director
- Phone
- (208) 318-1315
Corporate family (same tax ID) 49
Practitioners 1
-
Mark Allen McCullough, LCSW
National Provider Directory
- Tax ID family
- Community Health Clinics Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
300 S 23Rd St
Boise, ID 83702-9100
Mailing address
PO Box 9
C/O Pharmacy Director, Boise -Retail
Nampa, ID 83653-0009
Phone (208) 318-1396
Other names
- Terry Reilly Health Services
- Terry Reilly Health Services Pharmacy RETAIL
NPI Registry JSON
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1992501498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"address_2": "C/O PHARMACY DIRECTOR, BOISE -RETAIL",
"city": "NAMPA",
"state": "ID",
"postal_code": "836530009",
"telephone_number": "208-318-1396",
"fax_number": "208-803-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 23RD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837029100",
"telephone_number": "208-318-1396",
"fax_number": "208-803-0214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CLINICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-14",
"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",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"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 Pharmacy RETAIL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boise, ID
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Health Clinics, Inc.
- Community Home Care LLC
- Community Partnerships of Idaho Care Plus, LLC
- Community Partnerships of Idaho, Inc
- Community Partnerships of Idaho, Inc.
- Community Partnerships of Idaho, Inc.
All providers in Boise, ID · Community/Retail Pharmacy 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 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.