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
1	207Q00000X	Family Medicine Physician
2	363L00000X	Nurse Practitioner
3	363A00000X	Physician Assistant
4	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1457309122
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	:	223 16TH AVE N
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4058
Country	:	US
Telephone Number	:	208-467-7654
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	:	05/05/2006
Last Update Date	:	12/31/2025

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