| Terry Reilly Health Services | |
|
108 E Idaho Ave Homedale ID 83628-5003 | |
| (208) 337-3189 | |
| (208) 466-5359 |
| Full Name | Terry Reilly Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 E Idaho Ave, Homedale, 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 |
|---|---|
| Terry Reilly Health Services Po Box 9 Nampa ID 83653-0009 Ph: (208) 461-7149 | Terry Reilly Health Services 108 E Idaho Ave Homedale ID 83628-5003 Ph: (208) 337-3189 |
| NPI Number | 1386757235 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 4082527353 |
|---|---|
| Medicare Enrollment ID | O20100916000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386757235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Terry Reilly Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 E Idaho Ave, Homedale, ID 83628 Phone: 208-721-5076 Fax: 208-370-6036 | |
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