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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CLINICS, INC.

MEDICARE: COMMUNITY HEALTH CLINICS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2363L00000XNurse Practitioner
31041C0700XClinical Social Worker
42084P0800XPsychiatry Physician
5101YP2500XProfessional Counselor
6364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist
72084A0401XAddiction Medicine (Psychiatry & Neurology) Physician
8171400000XHealth & Wellness Coach
9207Q00000XFamily Medicine Physician
10104100000XSocial Worker
11363LF0000XFamily Nurse Practitioner
12363LP0808XPsychiatric/Mental Health Nurse Practitioner
13175T00000XPeer Specialist
14363A00000XPhysician Assistant
15261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1588678361
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CLINICS, INC.
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : NAMPA
State : ID
Zip : 83653-0009
Country : US
Telephone Number : 208-461-7149
Fax Number : 208-467-3391
Provider Business Practice Location Address
First Line : 300 S 23RD ST
Second Line :
City : BOISE
State : ID
Zip : 83702-9100
Country : US
Telephone Number : 208-344-3512
Fax Number : 208-466-5359
Authorized Official
Title or Position : DIRECTOR OF REVENUE
Name : DONALD CURTIS
Credential :
Telephone Number : 208-323-9613
Provider Enumeration Date : 07/28/2006
Last Update Date : 12/31/2025

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Directions to “COMMUNITY HEALTH CLINICS, INC. ” Practice Location

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