NPI | 1346254026 |
---|---|
Doing Business As | TERRY REILLY - VISTA |
Doing Business As | TERRY REILLY HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | DONALD CURTIS Director Of Revenue 208-323-9613 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-06-11 |