Provider Type Icon

FAMILY HEALTH SERVICES CORPORATION NPI 1669449450


NPI Information

NPI: 1669449450
Provider Name: FAMILY HEALTH SERVICES CORPORATION

Doing Business As: FAMILY HEALTH SERVICES

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 13D0879796

Address:
388 MARTIN STREET
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-0451
Get Directions

FAMILY HEALTH SERVICES CORPORATION is a federally qualified health center (fqhc) clinic center in Twin Falls, ID. FAMILY HEALTH SERVICES CORPORATION NPI is 1669449450. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Health Services.

The provider's business location address is:

388 MARTIN STREET
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-0451
Fax: (208) 734-0452

The provider's authorized official is Aaron Houston .
The authorized official title is Cfo and has the following contact phone number (208) 734-3312.

The CLIA number assigned to this NPI record is 13D0879796 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 1/2/2013.


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
1207Q00000XFamily MedicineIDAHONo
21041C0700XSocial WorkerClinicalIDAHONo
3103T00000XPsychologistIDAHONo
4101Y00000XCounselorIDAHONo
5122300000XDentistIDAHONo
6363A00000XPhysician AssistantIDAHONo
7363L00000XNurse PractitionerIDAHONo
8124Q00000XDental HygienistIDAHONo
9261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002547000MEDICAIDIDAHO
21374819MEDICARE OSCAR/CERTIFICATIONIDAHO
3131804MEDICARE OSCAR/CERTIFICATION

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.