OrganizationActive
Family Health Services Corporation
NPI 1487229688 · Federally Qualified Health Center (FQHC) · Kimberly, ID
Provider details
- NPI number
- 1487229688
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Blackwood, Credentialing(208) 737-6718
Specialties & taxonomies
Ambulatory Health Care Facilities
- Social Worker104100000X
Behavioral Health & Social Service Providers
- School Social Worker1041S0200X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- School Counselor101YS0200X
Behavioral Health & Social Service Providers
Practice location
900 Polk St W
Kimberly, ID 83301
Phone: (208) 423-4170
Approximate (ZIP-level) locationGet directions
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2021-05-21
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.