NPIMap

Organization Active NPI

Family Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Twin Falls, ID
National Provider Identifier
1124571815
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH SERVICES CORPORATION
Practice address
826 Eastland Dr
Twin Falls, ID 83301-6858
Phone
(208) 734-7447
Fax
(208) 733-5940
NPI assigned
Jul 28, 2016
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aaron J Houston
Title
Ceo
Phone
(208) 734-3312

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

826 Eastland Dr
Twin Falls, ID 83301-6858

Mailing address

794 Eastland Drive
Family Health Services
Twin Falls, ID 83301
Phone (208) 734-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040216000531 ID Part B Supplier - Clinic/Group Practice 7012815038 Receives reassigned benefits from 77 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kimberly, ID; Rupert, ID; Shoshone, ID; Twin Falls, ID; Bellevue, ID; Buhl, ID; Burley, ID; Declo, ID…
O20170316001169 ID Part A Provider - Federally Qualified Health Center (FQHC) 7012815038 Practice locations: Twin Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124571815. Details of each certification follow.

Federally qualified health center certification: CCN 131875

Legal name
FAMILY HEALTH SERVICES CORPORATION
Doing business as
FAMILY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 17, 2017
Last certification
Feb 17, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 22, 1982 in ID
Enrollment address
826 Eastland Dr
Twin Falls, ID 83301-6858

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory

Locations

525 Sawtooth Ave
Buhl, ID 83316
Phone (208) 543-8263

885 Center St W
Rm 123
Kimberly, ID 83341
Phone (208) 423-5181

300 N College Rd W
Twin Falls, ID 83301
Phone (208) 732-7555

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aaron J Houston Individual Corporate OfficerCeo Feb 26, 2013 100%
W-2 Managing EmployeeCeo Feb 2, 2016 100%
Chris Wingfield Individual Corporate OfficerCio Mar 1, 1999
Kandra Richardson Individual Corporate DirectorBoard Member Jan 25, 2022
Melody Lefler Individual Corporate DirectorBoard Member - President Apr 26, 2011
Jane Miller Individual Corporate DirectorBoard Member May 1, 2018
Andrew York Individual Corporate DirectorBoard Member Mar 1, 2020
Marta Hernandez Individual Corporate DirectorBoard Member Jan 24, 2012
Robert Agnew Individual Corporate OfficerCfo Feb 4, 2019
Bonnie Hoag Individual Corporate DirectorBoard Member - Vice President Mar 1, 2011
Family Health Services Corporation Organization, Twin Falls, ID Corporation, Non-profit Operational/Managerial Control Feb 22, 1982 100%
Janet K King Individual Corporate DirectorBoard Member Oct 4, 2015
Robert Bulkley Individual Corporate DirectorBoard Member Mar 17, 2017
John Lothspeich Individual Corporate DirectorBoard Member Jan 25, 2022

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family Health Services ShoshoneShoshone, ID, CCN 131894 Federally qualified health center Operational/Managerial Control (100%) Feb 22, 1982
Family Health Services CorporationTwin Falls, ID, CCN 131011 Federally qualified health center Operational/Managerial Control (100%) May 15, 2020
Family Health Services CorporationTwin Falls, ID, CCN 131017 Federally qualified health center Operational/Managerial Control (100%) May 15, 2020
Family Health Services CorporationJerome, ID, CCN 131016 Federally qualified health center Operational/Managerial Control (100%) Oct 25, 2022
Family Health Services CorporationTwin Falls, ID, CCN 131014 Federally qualified health center Operational/Managerial Control (100%) May 20, 2020
Family Health Services CorporationShoshone, ID, CCN 131019 Federally qualified health center Operational/Managerial Control (100%) Aug 5, 2021
Family Health Services CorporationTwin Falls, ID, CCN 131020 Federally qualified health center Operational/Managerial Control (100%) Jul 30, 2021
Family Health Services CorporationDeclo, ID, CCN 131023 Federally qualified health center Operational/Managerial Control (100%) May 21, 2021
Family Health Services CorporationBurley, ID, CCN 131024 Federally qualified health center Operational/Managerial Control (100%) Jun 12, 2019
Family Health Services CorporationBurley, ID, CCN 131026 Federally qualified health center Operational/Managerial Control (100%) Jun 29, 2020
Family Health Services CorporationBuhl, ID, CCN 131028 Federally qualified health center Operational/Managerial Control (100%) Aug 2, 2022
Family Health Services CorporationBuhl, ID, CCN 131027 Federally qualified health center Operational/Managerial Control (100%) Apr 12, 2022
Family Health Services CorporationJerome, ID, CCN 131031 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2023
Family Health Services CorporationKimberly, ID, CCN 131038 Federally qualified health center Operational/Managerial Control (100%) Aug 4, 2021
Family Health Services CorporationKimberly, ID, CCN 131037 Federally qualified health center Operational/Managerial Control (100%) Aug 4, 2021
Family Health Services CorporationTwin Falls, ID, CCN 131040 Federally qualified health center Operational/Managerial Control (100%) Oct 25, 2023
Family Health Services CorporationTwin Falls, ID, CCN 131043 Federally qualified health center Operational/Managerial Control (100%) Apr 8, 2024
Family Health Services CorporationTwin Falls, ID, CCN 131046 Federally qualified health center Operational/Managerial Control (100%) Oct 22, 2024
Family Health ServicesKimberly, ID, CCN 131050 Federally qualified health center Operational/Managerial Control (100%) Jun 14, 1982
Family Health Services CorporationKimberly, ID, CCN 131052 Federally qualified health center Operational/Managerial Control (100%) Jun 14, 1982

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1124571815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DRIVE",
            "address_2": "FAMILY HEALTH SERVICES",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-3312",
            "fax_number": "208-734-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016858",
            "telephone_number": "208-734-7447",
            "fax_number": "208-733-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-734-3312"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.