Organization
FRANKLIN COUNTY MEDICAL CENTER
Active
Other names
FCMC Specialty Clinic, Willow Valley Family Medicine & Obstetrics
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SMART (CFO)
(208) 852-0137
Entity
Organization
Contact information
Practice address
44 N 1ST E, PRESTON, ID 83263
(208) 852-0137
(208) 852-3812
Mailing address
44 N 1ST E, PRESTON, ID 83263-1326
(208) 852-0137
(208) 852-3812
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006659
BLUE SHIELD PHYSICIAN
ID
01
—
000010006660
BLUE SHIELD IP/OP
ID
05
—
002859700
—
ID
05
—
002860200
—
ID
05
—
002860600
—
ID
01
—
00422
BLUE-X IP/OP
ID
01
—
8L170
BLUE-X PHYSICIAN
ID
05
—
D02859600
—
ID
Enumeration date
10/04/2006
Last updated
01/08/2026
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