Organization
FAMILY HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON HOUSTON (CFO)
(208) 734-3312
Entity
Organization
Contact information
Practice address
401 W CAMAS AVE, FAIRFIELD, ID 83327
(208) 764-2677
(208) 764-2646
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
122300000X
Dentist
—
ID
124Q00000X
Dental Hygienist
—
ID
133V00000X
Registered Dietitian
—
ID
207Q00000X
Family Medicine Physician
—
ID
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
ID
363A00000X
Physician Assistant
—
ID
363L00000X
Nurse Practitioner
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002547002
—
ID
Enumeration date
05/31/2006
Last updated
04/30/2021
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