Healthcare Provider Details

I. General information

NPI: 1811855091
Provider Name (Legal Business Name): COMMUNITY HEALTH CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N CURTIS RD STE 203
BOISE ID
83706-1346
US

IV. Provider business mailing address

PO BOX 9 ATTN PHARMACY DIRECTOR -SPECIALTY CLINIC
NAMPA ID
83653-0009
US

V. Phone/Fax

Practice location:
  • Phone: 208-318-1229
  • Fax: 208-701-6669
Mailing address:
  • Phone: 208-461-7149
  • Fax: 208-466-5359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: HEIDI HART
Title or Position: CEO
Credential:
Phone: 208-461-7149