NPI 1245804400 · live from the CMS NPI Registry
Family Health Services Corporation
Clinic/Center, Federally Qualified Health Center (FQHC) in Bellevue, ID. National Provider Identifier 1245804400, active.
NPI record
| NPI | 1245804400 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 621 N Main St, Bellevue, ID 83313 |
| Practice phone | 208-737-6718 |
| Mailing address | 794 Eastland Dr, Twin Falls, ID 83301 |
| Enumerated | May 13, 2021 |
| Last updated | May 26, 2021 |
| Authorized official | Stacey Blackwood, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist | 103T00000X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Dentist | 122300000X | — |
| Dental Hygienist | 124Q00000X | — |
| Dietitian, Registered | 133V00000X | — |
| Pharmacist | 183500000X | — |
| Family Medicine | 207Q00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Clinic/Center, Federally Qualified Health Center (FQHC) primary | 261QF0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.