NPIMap

Organization Active NPI

Family Health Services Corporation

Doing business as Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Twin Falls, ID
National Provider Identifier
1669449450
Registry record updated Jan 2, 2013
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
Doing business as
Family Health Services
Practice address
388 Martin Street
Twin Falls, ID 83301
Phone
(208) 734-0451
Fax
(208) 734-0452
NPI assigned
Mar 1, 2006
Last updated
Jan 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Aaron Houston
Title
Cfo
Phone
(208) 734-3312

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ID
Psychologist 103T00000X ID
Clinical Social Worker 1041C0700X ID
Dentist 122300000X ID
Dental Hygienist 124Q00000X ID
Family Medicine Physician 207Q00000X ID
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician Assistant 363A00000X ID
Nurse Practitioner 363L00000X ID

Addresses

Primary practice location

388 Martin Street
Twin Falls, ID 83301

Mailing address

794 Eastland Drive
Twin Fall, ID 83301-6856
Phone (208) 734-3312

Other identifiers 1

IdentifierTypeStateIssuer
002547000MedicaidID

Other names 1

  • FAMILY HEALTH SERVICES Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031229000466 ID Part A Provider - Federally Qualified Health Center (FQHC) 7012815038 Practice locations: Twin Falls, ID
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…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669449450. Details of each certification follow.

Federally qualified health center certification: CCN 131804

Legal name
FAMILY HEALTH SERVICES CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1992
Last certification
Jul 1, 1992
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 22, 1982 in ID
Enrollment address
388 Martin St
Twin Falls, ID 83301-4544

Facilities connected through Provider of Services related, parent or unit certification numbers.

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

218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471

132 Main Ave N
Twin Falls, ID 83301

Ownership & related parties

All disclosed owners & managing parties 12

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 DirectorCfo Jan 1, 2011
W-2 Managing Employee Jan 1, 2011
Chris Wingfield Individual Corporate Director Jan 1, 2011
W-2 Managing Employee Jan 1, 2011
Melody Lefler Individual Corporate Director Feb 1, 2008
John Varin Individual Corporate Director Feb 1, 2008
Marta Hernandez Individual Corporate Director Dec 1, 1999
Jared Heward Individual Corporate OfficerBoard Member May 1, 2012
Maxine Bell Individual Corporate Director Aug 1, 2006
Linda Brugger Individual Corporate Director Apr 26, 2011
William Stoltzfus Individual Corporate OfficerBoard Member Jun 1, 2012
Patty Kleinkopf Individual Corporate Director Jan 1, 2011
W-2 Managing Employee Jan 1, 2011
Bonnie Hoag Individual Corporate Director Mar 22, 2011
Wendie Munoz Individual Corporate Director Jan 1, 2006

All facility ownership & control disclosures 21

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

FacilityTypeRoleSince
Family Health ServicesTwin Falls, ID, CCN 131875 Federally qualified health center Operational/Managerial Control (100%) Feb 22, 1982
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

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1669449450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EASTLAND DRIVE",
            "city": "TWIN FALL",
            "state": "ID",
            "postal_code": "833016856",
            "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": "388 MARTIN STREET",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-0451",
            "fax_number": "208-734-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-734-3312"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "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": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002547000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.