NPI 1730135310 · live from the CMS NPI Registry
Family Health Services Corporation
Clinic/Center, Federally Qualified Health Center (FQHC) in Jerome, ID. National Provider Identifier 1730135310, active.
NPI record
| NPI | 1730135310 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 218 W Nez Perce, Jerome, ID 83338 |
| Practice phone | 208-324-3471 |
| Mailing address | 794 Eastland Dr, Twin Falls, ID 83301 |
| Enumerated | May 25, 2006 |
| Last updated | April 12, 2021 |
| Authorized official | Aaron Houston, Cio |
| Other names | Family Health Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — (ID) |
| Psychologist | 103T00000X | — (ID) |
| Social Worker | 104100000X | — (ID) |
| Dentist | 122300000X | — (ID) |
| Dental Hygienist | 124Q00000X | — (ID) |
| Dietitian, Registered | 133V00000X | — (ID) |
| Family Medicine | 207Q00000X | — (ID) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — (ID) |
| Physician Assistant | 363A00000X | — (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.