Organization
FAMILY HEALTH SERVICES CORPORATION
Active
Other names
FAMILY HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
AARON HOUSTON (CFO)
(208) 734-3312
Entity
Organization
Contact information
Practice address
388 MARTIN STREET, TWIN FALLS, ID 83301
(208) 734-0451
(208) 734-0452
Mailing address
794 EASTLAND DRIVE, TWIN FALL, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
ID
103T00000X
Psychologist
—
ID
1041C0700X
Clinical Social Worker
—
ID
122300000X
Dentist
—
ID
124Q00000X
Dental Hygienist
—
ID
207Q00000X
Family Medicine Physician
—
ID
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
ID
363L00000X
Nurse Practitioner
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002547000
—
ID
Enumeration date
03/01/2006
Last updated
01/02/2013
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