# GLENNS FERRY HEALTH CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Sage Health Center, Desert Sage Health Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982089678
- **Authorized official:** SHARLET WILSON (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (208) 696-7203

## Contact information

- **Practice address:** 120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
- **Practice address phone:** (208) 587-3988
- **Mailing address:** 120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
- **Mailing address phone:** (208) 696-7203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D4672 | ID | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2015
- **Last updated:** 06/17/2026