Organization
FAMILY HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BLACKWOOD (CREDENTIALING SPECIALIST)
(208) 737-6718
Entity
Organization
Contact information
Practice address
644 CASWELL AVE W, TWIN FALLS, ID 83301-3707
(208) 733-4875
(208) 734-1282
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 737-6718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up