| NPI | 1952756884 |
|---|---|
| Doing Business As | TERRY REILLY HEALTH SERVICES -LATAH CLINIC |
| 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 | 2016-04-28 |
| Last Update Date | 2024-02-07 |