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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
11041C0700XClinical Social Worker
2175T00000XPeer Specialist
3101YP2500XProfessional Counselor
4171400000XHealth & Wellness Coach
5101Y00000XCounselor
6104100000XSocial Worker
7261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1043230501
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 : 2005 ARLINGTON AVE
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4808
Country : US
Telephone Number : 208-323-9600
Fax Number : 208-345-3502
Authorized Official
Title or Position : DIRECTOR OF REVENUE
Name : DONALD CURTIS
Credential :
Telephone Number : 208-323-9613
Provider Enumeration Date : 07/20/2006
Last Update Date : 12/31/2025

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