FAMILY RESOURCE CENTERS OF AMERICA, INC
NPI 1912335738
Clinic/Center - Mental Health (Including Community Mental Health Center) in Idaho Falls, ID

NPI Status: Active since October 15, 2013

Contact Information

3422 S 15TH E
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-1222
Fax: (208) 552-3377

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About FAMILY RESOURCE CENTERS OF AMERICA, INC

This page provides the complete NPI Profile along with additional information for Family Resource Centers Of America, Inc, a provider established in Idaho Falls, Idaho operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1912335738 assigned on October 2013. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Leesa Morgan Ba (Executive Assistant)

NPI
1912335738
Provider Name
FAMILY RESOURCE CENTERS OF AMERICA, INC
Entity Type
Organization
Location Address
3422 S 15TH E IDAHO FALLS, ID 83404
Location Phone
(208) 552-1222
Location Fax
(208) 552-3377
Mailing Address
3422 S 15TH E IDAHO FALLS, ID 83404
Mailing Phone
(208) 552-1222
Mailing Fax
(208) 552-3377
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2013
Last Update Date
10-15-2013
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

LEESA MORGAN BA

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(208) 552-1222

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
805 384 500MEDICAID (05)ID 

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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.
1912335738
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922631076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 6 + 3 + 1 + 0 + 7 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1912335738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285621532MICHAEL T HARRIS MD, PC
Organization
Clinic/Center (Primary Care)3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1720171358 BRET V WIXOM LCSW
Individual
Social Worker (Clinical)3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1831270594 SANDI DE EATINGER LMSW
Individual
Social Worker (Clinical)3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1881758746 CATHRYN D CARPENTER
Individual
Audiologist3422 S 15TH E STE 101
IDAHO FALLS, ID 83404
(208) 552-1222
1477769339 KRISTY CAMPBELL LSW
Individual
Social Worker3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1952579021DR. MICHAEL THOMAS HARRIS MD
Individual
Family Medicine3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1861651812 MICHAEL REX LCSW
Individual
Social Worker3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 523-5055
1720387681 TRAVIS SCOTT HULL LMSW
Individual
Social Worker3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1164712899SAWTOOTH REHAB, PLLC
Organization
Specialist3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 522-7627
1114343985 KELLY STARK
Individual
Counselor (Mental Health)3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1215314968 HSIANG-HUA WANG
Individual
Counselor3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 552-1222
1457312308DR. WENDELL E PETTY M.D.
Individual
Allergy & Immunology3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 529-9292
1003949298IDAHO ALLERGY & ASTHMA CLINIC PA
Organization
Allergy & Immunology3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 529-9292
1376877795 DAVID AARON PETTY D.O.
Individual
Allergy & Immunology (Allergy)3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 529-9292
1760044424 PHILLIP MARLOWE PA-C
Individual
Physician Assistant3422 S 15TH E
IDAHO FALLS, ID 83404
(208) 529-9292

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912335738, enumerated in the NPI registry as an "organization" on October 15, 2013

The provider is located at 3422 S 15th E Idaho Falls, Id 83404 and the phone number is (208) 552-1222

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 15, 2013. 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].
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