| Organization Name: | COMMUNITY HEALTH CLINICS INC |
| NPI Number: | 1043230501 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY BROWN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2005 Arlington Ave Caldwell |
| State: | ID US |
| Postal Code: | 836054808 |
| Phone Number: | 2084617149 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 09/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |