| Family Health Services Corporation | |
| 61 E Highway 24 Shoshone ID 83352-5338 | |
| (208) 886-2381 | |
| Not Available | 
| Full Name | Family Health Services Corporation | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 61 E Highway 24, Shoshone, Idaho | 
| Authorized Official Name and Position | Stacey Blackwood (CREDENTIALING SPECIALIST) | 
| 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) 735-9363 | Family Health Services Corporation 61 E Highway 24 Shoshone ID 83352-5338 Ph: (208) 886-2381 | 
| NPI Number | 1558023614 | 
|---|---|
| Provider Enumeration Date | 10/06/2021 | 
| Last Update Date | 10/06/2021 | 
| Certification Date | 05/13/2021 | 
| Medicare PECOS PAC ID | 7012815038 | 
|---|---|
| Medicare Enrollment ID | O20221216001419 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558023614 | NPI | - | NPPES | 
| Lincoln Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 South Apple Street, Shoshone, ID 83352 Phone: 208-886-2224 Fax: 208-886-2634 | |
| Family Health Services Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 651 S Beverly St, Shoshone, ID 83352 Phone: 208-886-2224 Fax: 208-886-2634 |