FAMILY HEALTH SERVICES CORPORATION NPI 1689383259

NPI Information

NPI: 1689383259
Provider Name: FAMILY HEALTH SERVICES CORPORATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
651 SOUTH BEVERLY STREET
SHOSHONE, ID
ZIP 83352
Phone: (208) 734-3312
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FAMILY HEALTH SERVICES CORPORATION is a federally qualified health center (fqhc) clinic center in Shoshone, ID. FAMILY HEALTH SERVICES CORPORATION NPI is 1689383259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

651 SOUTH BEVERLY STREET
SHOSHONE, ID
ZIP 83352
Phone: (208) 734-3312

The provider's authorized official is Stacey Blackwood .
The authorized official title is Credentialing Specialist and has the following contact phone number (208) 737-6718.

The enumeration date for this NPI number is 11/22/2022 and was last updated on 11/22/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	1041C0700X	Social Worker	Clinical	No
4	1223G0001X	Dentist	General Practice	No
5	124Q00000X	Dental Hygienist		No
6	183500000X	Pharmacist		No
7	207Q00000X	Family Medicine		No
8	3336C0003X	Pharmacy	Community/Retail Pharmacy	No
9	363A00000X	Physician Assistant		No
10	363L00000X	Nurse Practitioner		No
11	261QF0400X	Clinic/Center	Federally 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: 5/5/2024

NPI Synchronization or Removal

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