| Family Health Services Corporation | |
| 1010 W 17th St Burley ID 83318-1746 | |
| (208) 678-0101 | |
| (208) 678-0303 | 
| Full Name | Family Health Services Corporation | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1010 W 17th St, Burley, Idaho | 
| Authorized Official Name and Position | Stacey Blackwood (CREDENTIALING) | 
| Authorized Official Contact | 2087376718 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Family Health Services Corporation 794 Eastland Dr Twin Falls ID 83301-6856 Ph: (208) 734-3312 | Family Health Services Corporation 1010 W 17th St Burley ID 83318-1746 Ph: (208) 678-0101 | 
| NPI Number | 1922661404 | 
|---|---|
| Provider Enumeration Date | 04/19/2019 | 
| Last Update Date | 05/13/2021 | 
| Certification Date | 05/13/2021 | 
| Medicare PECOS PAC ID | 7012815038 | 
|---|---|
| Medicare Enrollment ID | O20230106000214 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922661404 | NPI | - | NPPES | 
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