NPI 1093761694 · live from the CMS NPI Registry
Family Health Services Corporation
Clinic/Center, Federally Qualified Health Center (FQHC) in Rupert, ID. National Provider Identifier 1093761694, active.
NPI record
| NPI | 1093761694 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 402 6th St, Rupert, ID 83350 |
| Practice phone | 208-650-7941 |
| Mailing address | 794 Eastland Dr, Twin Falls, ID 83301 |
| Enumerated | May 25, 2006 |
| Last updated | March 17, 2021 |
| Authorized official | Aaron Houston, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | — (ID) |
| Dental Hygienist | 124Q00000X | — (ID) |
| Dietitian, Registered | 133V00000X | — (ID) |
| Family Medicine | 207Q00000X | — (ID) |
| Physician Assistant, Medical | 363AM0700X | — (ID) |
| Nurse Practitioner | 363L00000X | — (ID) |
| Clinic/Center, Federally Qualified Health Center (FQHC) primary | 261QF0400X | — (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.