| NPI | 1942406137 |
|---|---|
| Doing Business As | TERRY REILLY HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA JO ZIMMERMAN Billing Manager 208-461-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-09-08 |