TERRY REILLY HEALTH SERVICES
NPI 1073092771
Clinic/Center - Dental in Boise, ID
- Organization
- Clinic/Center
- Dental
- CLIA Number: 13D2334207
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 11-16-2027
About TERRY REILLY HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Terry Reilly Health Services, a provider established in Boise, Idaho operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1073092771 assigned on August 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Terry Reilly Health Services. The authorized official of this NPI record is Donald Curtis (Director Of Revenue)
- NPI
- 1073092771 Verify this NPI
- Provider Legal Name
- COMMUNITY HEALTH CLINICS, INC.
- Other Organization Name
- TERRY REILLY HEALTH SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 N ALLUMBAUGH ST BOISE, ID 83704
- Location Phone
- (208) 336-8801
- Location Fax
- (208) 466-5359
- Mailing Address
- PO BOX 9 NAMPA, ID 83653
- Mailing Phone
- (208) 467-4431
- Mailing Fax
- (208) 467-7684
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2018
- Last Update Date
- 02-07-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2334207
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- November 17, 2025
- Certificate Expiration Date
- November 16, 2027
- Laboratory Director
- ANDREW BARON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Terry Reilly Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
BOISE, ID 83704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073092771, enumerated as an "organization" on August 13, 2018.
The provider is located at 400 N ALLUMBAUGH ST BOISE, ID 83704 and the phone number is (208) 336-8801.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
