FAMILY HEALTH SERVICES CORPORATION
NPI 1073188728
Clinic/Center - Federally Qualified Health Center (FQHC) in Jerome, ID

NPI Status: Active since May 25, 2021

Contact Information

114 PIONEER CT
JEROME, ID
ZIP 83338
Phone: (208) 732-7125
Fax: (208) 933-4417

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 13D2278207
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-13-2027

About FAMILY HEALTH SERVICES CORPORATION

This page provides the complete NPI Profile along with additional information for Family Health Services Corporation, a primary care provider established in Jerome, Idaho operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1073188728 assigned on May 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Family Health Services Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stacey Blackwood (Credentialing Specialist)

NPI
1073188728
Provider Name
FAMILY HEALTH SERVICES CORPORATION
Entity Type
Organization
Location Address
114 PIONEER CT JEROME, ID 83338
Location Phone
(208) 732-7125
Location Fax
(208) 933-4417
Mailing Address
794 EASTLAND DR TWIN FALLS, ID 83301
Mailing Phone
(208) 737-6718
Mailing Fax
(208) 933-4417
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2021
Last Update Date
06-26-2023
Code Navigator

A primary care provider (PCP) like Family Health Services Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
3104100000XBehavioral Health & Social Service Providers

Social Worker

 
4122300000XDental Providers

Dentist

 
51223G0001XDental Providers

Dentist
General Practice

 
6124Q00000XDental Providers

Dental Hygienist

 
7126800000XDental Providers

Dental Assistant

 
8207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
92084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
10363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
11363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACEY BLACKWOOD

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(208) 737-6718

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2278207
Facility Type
Federally Qualified Health Center
Certificate Effective Date
March 14, 2025
Certificate Expiration Date
March 13, 2027
Laboratory Director
BASIL ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Health Services Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAMILY HEALTH SERVICES CORPORATION

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073188728, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 2 + 8 + 1 + 6 + 7 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1073188728.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
114 PIONEER CT
JEROME, ID 83338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073188728, enumerated as an "organization" on May 25, 2021.

The provider is located at 114 PIONEER CT JEROME, ID 83338 and the phone number is (208) 732-7125.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: University of Utah Health Plans. Please consult your insurance carrier or call the provider to verify.