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General NPI Number Information
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NPI Number | 1952252090
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CLINICS, INC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 4306 W STATE ST
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City | BOISE
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State | ID
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Zip | 83703-4443
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Country | US
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Telephone | 208-323-9600
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Fax | 208-466-5359
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | NAMPA
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State | ID
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Zip | 83653-0009
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Country | US
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Telephone | 208-461-7149
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Fax | 208-467-3391
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Authorized Official
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Title or Position | CEO
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Name | HEIDI HART
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Credential |
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Telephone | 208-461-7149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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