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UPPER VALLEY COMMUNITY HEALTH SERVICES INC. NPI 1699537571


NPI Information

NPI: 1699537571
Provider Name: UPPER VALLEY COMMUNITY HEALTH SERVICES, INC.

Doing Business As: GRAND PEAKS PHARMACY

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 13D2300666

Address:
3729 WOODKING DR STE 2
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 612-6300
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UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Idaho Falls, ID. UPPER VALLEY COMMUNITY HEALTH SERVICES, INC. NPI is 1699537571. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Peaks Pharmacy.

The provider's business location address is:

3729 WOODKING DR STE 2
IDAHO FALLS, ID
ZIP 83404-720
Phone: (208) 612-6300
Fax: (208) 612-6119

The provider's authorized official is Lori K Sessions .
The authorized official title is Ceo and has the following contact phone number (208) 356-4900.

The CLIA number assigned to this NPI record is 13D2300666 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/26/2024 and was last updated on 2/21/2024.


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 License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2261QF0400XClinic/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: 5/5/2024

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.