Organization
UPPER VALLEY COMMUNITY HEALTH SERVICES INC
Active
Other names
Grand Peaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LORI K SESSIONS (CEO)
(208) 356-4900
Entity
Organization
Contact information
Practice address
2454 N 25TH EAST, STE 201, IDAHO FALLS, ID 83401
(208) 356-4900
(208) 612-6123
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4112
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
11/05/2025
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