Organization
FAMILY HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON HOUSTON (CEO)
(208) 734-3312
Entity
Organization
Contact information
Practice address
402 6TH ST, RUPERT, ID 83350-1619
(208) 650-7941
(208) 436-0735
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
ID
124Q00000X
Dental Hygienist
—
ID
133V00000X
Registered Dietitian
—
ID
207Q00000X
Family Medicine Physician
—
ID
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
ID
363AM0700X
Medical Physician Assistant
—
ID
363L00000X
Nurse Practitioner
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002547001
—
ID
Enumeration date
05/25/2006
Last updated
03/17/2021
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