OrganizationActive
Family Health Services Corporation
NPI 1073188728 · Federally Qualified Health Center (FQHC) · Jerome, ID
Provider details
- NPI number
- 1073188728
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Blackwood, Credentialing Specialist(208) 737-6718
Specialties & taxonomies
Ambulatory Health Care Facilities
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Dentist122300000X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Dental Hygienist124Q00000X
Dental Providers
Practice location
114 Pioneer Ct
Jerome, ID 83338-5193
Phone: (208) 732-7125
Fax: (208) 933-4417
Approximate (ZIP-level) locationGet directions
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.