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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
11223G0001XGeneral Practice Dentistry
2261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1629445853
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CLINICS, INC.
Provider Business Mailing Address
First Line : 211 16TH AVE N
Second Line :
City : NAMPA
State : ID
Zip : 83687-4058
Country : US
Telephone Number : 208-461-7149
Fax Number : 208-466-5359
Provider Business Practice Location Address
First Line : 808 CLEVELAND BLVD
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4168
Country : US
Telephone Number : 208-459-1025
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 : 08/24/2015
Last Update Date : 12/15/2025

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

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