Wellformed AI

NPI 1003862525 · live from the CMS NPI Registry

Family Health Services Corporation

Clinic/Center, Federally Qualified Health Center (FQHC) in Buhl, ID. National Provider Identifier 1003862525, active.

NPI record

NPI1003862525 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X
Practice location725 Fair St, Buhl, ID 83316
Practice phone208-543-8271
Mailing address794 Eastland Dr, Twin Falls, ID 83301
EnumeratedMay 26, 2006
Last updatedMarch 17, 2021
Authorized officialAaron Houston, Cfo
Other namesFamily Health Services

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker104100000X— (ID)
Dentist122300000X— (ID)
Psychologist103T00000X— (ID)
Psychiatry & Neurology, Psychiatry2084P0800X— (ID)
Dental Hygienist124Q00000X— (ID)
Dietitian, Registered133V00000X— (ID)
Family Medicine207Q00000X— (ID)
Physician Assistant363A00000X—
Nurse Practitioner363L00000X— (ID)
Clinic/Center, Federally Qualified Health Center (FQHC) primary261QF0400X— (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.