NPIMap

Organization Active NPI

Franklin County Medical Center

Doing business as FCMC Developmental Disabilities Agency (For Adults)

  • Developmentally Disabled Services Day Training Agency
  • Preston, ID
National Provider Identifier
1144016858
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FRANKLIN COUNTY MEDICAL CENTER
Doing business as
FCMC Developmental Disabilities Agency (For Adults)
Practice address
153 N State St
Preston, ID 83263-5011
Phone
(208) 852-0324
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANKLIN COUNTY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Shenandoah Layne Troumbley
Title
Revenue Cycle Director
Phone
(208) 852-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

153 N State St
Preston, ID 83263-5011

Mailing address

44 N 1St E
Preston, ID 83263-1326

Other names 1

  • FCMC Developmental Disabilities Agency (For Adults) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Franklin County Hosp-Ra7 organizations share this tax ID, including this one
Part of
Franklin County Hosp-Ra

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

153 N State St
Preston, ID 83263
Phone (208) 852-0324

44 N 1st E
Preston, ID 83263
Phone (208) 852-0137

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1144016858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832635011",
            "telephone_number": "208-852-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANKLIN COUNTY MEDICAL CENTER",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "TROUMBLEY",
        "authorized_official_first_name": "SHENANDOAH",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "208-852-4125"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCMC Developmental Disabilities Agency (For Adults)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Preston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.