Terry Reilly Health Services | |
524 Cleveland Blvd # 180 Caldwell ID 83605-4076 | |
(208) 912-0892 | |
(208) 345-3502 |
Full Name | Terry Reilly Health Services |
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Speciality | Clinic/Center |
Location | 524 Cleveland Blvd # 180, Caldwell, 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 |
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Terry Reilly Health Services Po Box 9 Nampa ID 83653-0009 Ph: (208) 461-7149 | Terry Reilly Health Services 524 Cleveland Blvd # 180 Caldwell ID 83605-4076 Ph: (208) 912-0892 |
NPI Number | 1326542705 |
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Provider Enumeration Date | 03/21/2018 |
Last Update Date | 02/07/2024 |
Medicare PECOS PAC ID | 4082527353 |
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Medicare Enrollment ID | O20230817001746 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326542705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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