| Terry Reilly Health Services, Boise Clinic | |
|
300 S 23rd St Boise ID 83702-9100 | |
| (208) 344-3512 | |
| (208) 466-5359 |
| Full Name | Terry Reilly Health Services, Boise Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S 23rd St, Boise, Idaho |
| Authorized Official Name and Position | Donald Curtis (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 2083239613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Reilly Health Services, Boise Clinic Po Box 9 Nampa ID 83653-0009 Ph: (208) 461-7149 | Terry Reilly Health Services, Boise Clinic 300 S 23rd St Boise ID 83702-9100 Ph: (208) 344-3512 |
| NPI Number | 1588678361 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 4082527353 |
|---|---|
| Medicare Enrollment ID | O20100806000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588678361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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