| Family Care Center, Inc | |
|
1582 N Holmes Avenue Idaho Falls ID 83401-2032 | |
| (208) 524-8832 | |
| (208) 535-7595 |
| Full Name | Family Care Center, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1582 N Holmes Avenue, Idaho Falls, Idaho |
| Authorized Official Name and Position | John Oakley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 20852988332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center, Inc 1582 N Holmes Avenue Idaho Falls ID 83401-2032 Ph: (208) 529-8832 | Family Care Center, Inc 1582 N Holmes Avenue Idaho Falls ID 83401-2032 Ph: (208) 524-8832 |
| NPI Number | 1205863222 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205863222 | NPI | - | NPPES |
| 002648300 | Medicaid | ID | |
| 000010006240 | Other | ID | BLUE SHIELD OF IDAHO |
| 8333-7 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Idaho) | Secondary |
| 103T00000X | Psychologist | (Idaho) | Secondary |
| 101YP2500X | Counselor - Professional | (Idaho) | Primary |
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