Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Health Services Corporation

Organization Counselor · NPI 1073188728

Family Health Services Corporation is a Counselor in Jerome, Idaho. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
12
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Practice location Address checks out

114 Pioneer Ct
Jerome, ID 83338-5193
Phone: (208) 732-7125
Fax: (208) 933-4417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X
Dental Hygienist Taxonomy 124Q00000X
Dental Assistant Taxonomy 126800000X
Family Medicine Physician Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1073188728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Blackwood — Credentialing Specialist · (208) 737-6718
NPI enumeratedMay 25, 2021
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address794 Eastland Dr, Twin Falls, ID 83301-6856

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