Family First Health Center of Rexburg Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP719A Issued in ID

Legal business name

FAMILY FIRST HEALTH CENTER OF REXBURG INC

Practice address

859 S Yellowstone Hwy
Suite 1101
Rexburg, ID 83440-5293

Phone

(208) 317-3288

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Rosemary H Brown, NP

Title

Owner

Phone

(208) 317-3288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1831220896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY",
            "address_2": "SUITE 1101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405293",
            "telephone_number": "208-317-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY",
            "address_2": "SUITE 1101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405293",
            "telephone_number": "208-317-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTH CENTER OF REXBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-317-3288",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Correne Fabanich, MS
• Fall Creek Skin and Health PLLC
• Fall River Medical, PLLC
• Families United Network
• Family Center Inc
• Cindi Farnworth, CRNA
• Kirsten Farnworth, OTR/L
• Rainey Alexandra Fernandez, LPC
• Eric Scott Fernelius, LCSW
• Erica Lynne Finney, LCSW

• All providers in Rexburg, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.