Community Health Clinics Inc in Melba - Federally Qualified Health Center (fqhc)
Community Health Clinics Inc - NPI 1578574521
Community Health Clinics Inc is a Federally Qualified Health Center (fqhc) in Melba, Idaho. Community Health Clinics Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health Clinics Inc is 1578574521. The last update date is 2007-11-05.
Community Health Clinics Inc's current location address is 150 2nd Avenue, Melba, Idaho. You can contact this provider via phone number 2084951011 and fax number 2084951012. The mailing address for Community Health Clinics Inc is 150 2nd Avenue, Melba, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health Clinics Inc |
|---|---|
| Address | 150 2nd Avenue, Melba, Idaho |
| Phone Number | 2084951011 |
| Fax Number | 2084951012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Tueber B Erwin |
| Credentials | PHD |
| Telephone Number | 2084674431 |
NPI Number Detail
| NPI Number | 1578574521 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 150 2nd Avenue |
|---|---|
| City | Melba |
| State | Idaho (ID) |
| Post Code | 83641 |
| Phone Number | 2084951011 |
| Fax Number | 2084951012 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique provider identifier assigned to Community Health Clinics Inc?
The Community Health Clinics Inc has been issued the NPI (National Provider Identifier) 1578574521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Community Health Clinics Inc located?
The Community Health Clinics Inc is located at 150 2Nd Avenue, Melba, ID 83641.
What is Community Health Clinics Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Health Clinics Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Community Health Clinics Inc receive the assignment of its 1578574521 from the Centers for Medicare & Medicaid Services?
The Community Health Clinics Inc was issued its 1578574521 by the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date were the details related to Community Health Clinics Inc most recently updated or revised?
The information pertaining to Community Health Clinics Inc, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-05.
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