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UPPER VALLEY COMMUNITY HEALTH SERVICES INC. NPI 1124403258


NPI Information

NPI: 1124403258
Provider Name: UPPER VALLEY COMMUNITY HEALTH SERVICES, INC.

Doing Business As: GRAND PEAKS MEDICAL AND DENTAL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 13D1077351

Address:
72 S 1ST E
REXBURG, ID
ZIP 83440
Phone: (208) 356-4900
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UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Rexburg, ID. UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. NPI is 1124403258. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Peaks Medical And Dental.

The provider's business location address is:

72 S 1ST E
REXBURG, ID
ZIP 83440-902
Phone: (208) 356-4900
Fax: (208) 356-3724

The provider's authorized official is Lori K Sessions .
The authorized official title is Ceo and has the following contact phone number (208) 624-4100.

The CLIA number assigned to this NPI record is 13D1077351 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 3/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.