FAMILY HEALTH SERVICES CORPORATION
NPI 1245804400
Clinic/Center - Federally Qualified Health Center (FQHC) in Bellevue, ID

NPI Status: Active since May 13, 2021

Contact Information

621 N MAIN ST
BELLEVUE, ID
ZIP 83313
Phone: (208) 737-6718

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 13D2264710
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 07-18-2026

About FAMILY HEALTH SERVICES CORPORATION

This page provides the complete NPI Profile along with additional information for Family Health Services Corporation, a primary care provider established in Bellevue, Idaho operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1245804400 assigned on May 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Family Health Services Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stacey Blackwood (Credentialing Specialist)

NPI
1245804400
Provider Name
FAMILY HEALTH SERVICES CORPORATION
Entity Type
Organization
Location Address
621 N MAIN ST BELLEVUE, ID 83313
Location Phone
(208) 737-6718
Mailing Address
794 EASTLAND DR TWIN FALLS, ID 83301
Mailing Phone
(208) 737-6718
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2021
Last Update Date
05-26-2021
Code Navigator

A primary care provider (PCP) like Family Health Services Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3103T00000XBehavioral Health & Social Service Providers

Psychologist

 
4103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
5104100000XBehavioral Health & Social Service Providers

Social Worker

 
61041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
7106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
8122300000XDental Providers

Dentist

 
9124Q00000XDental Providers

Dental Hygienist

 
10133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
11183500000XPharmacy Service Providers

Pharmacist

 
12207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
13363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
14363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACEY BLACKWOOD

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(208) 737-6718

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2264710
Facility Type
Federally Qualified Health Center
Certificate Effective Date
July 19, 2024
Certificate Expiration Date
July 18, 2026
Laboratory Director
BASIL ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Health Services Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAMILY HEALTH SERVICES CORPORATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245804400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285160840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 0 + 8 + 4 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245804400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467027938FAMILY HEALTH SERVICES CORPORATION
Organization
Pharmacy (Community/Retail Pharmacy)621 N MAIN ST
BELLEVUE, ID 83313
(208) 737-6718
1689301152 ELIZABETH MULLIN
Individual
Physician Assistant621 N MAIN ST
BELLEVUE, ID 83313
(208) 725-3145
1285797357MS. ALISA BARNES PAC
Individual
Physician Assistant621 N MAIN ST
BELLEVUE, ID 83313
(208) 725-3145
1407546898 MARY ELIZABETH VERHAEGHE PA-C
Individual
Physician Assistant (Medical)621 N MAIN ST
BELLEVUE, ID 83313
(208) 725-3145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245804400, enumerated in the NPI registry as an "organization" on May 13, 2021

The provider is located at 621 N Main St Bellevue, Id 83313 and the phone number is (208) 737-6718

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: UnitedHealthcare and University of Utah Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D2264710 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.