Organization
FAMILY HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BLACKWOOD (CREDENTIALING)
(208) 737-6718
Entity
Organization
Contact information
Practice address
132 MAIN ST. N., KIMBERLY, ID 83341-2002
(208) 735-3938
(208) 735-3939
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
ID
Other
Enumeration date
12/20/2012
Last updated
05/13/2021
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