NPI | 1477560654 |
---|---|
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) |
Additional Taxonomies | 101YP2500X Counselor Professional |
1041C0700X Social Worker Clinical | |
207Q00000X Family Medicine | |
363AM0700X Physician Assistant Medical | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-02-07 |