Terry Reilly Health Services | |
848 S La Cassia Dr Boise ID 83705-2253 | |
(208) 344-0086 | |
(208) 466-5359 |
Full Name | Terry Reilly Health Services |
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Speciality | Clinic/Center |
Location | 848 S La Cassia Dr, 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 |
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Terry Reilly Health Services 211 16th Ave N Nampa ID 83687-4058 Ph: (208) 461-7149 | Terry Reilly Health Services 848 S La Cassia Dr Boise ID 83705-2253 Ph: (208) 344-0086 |
NPI Number | 1952756884 |
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Provider Enumeration Date | 04/28/2016 |
Last Update Date | 02/07/2024 |
Medicare PECOS PAC ID | 4082527353 |
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Medicare Enrollment ID | O20160629001412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952756884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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