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

Active since May 25, 2021CLIA 13D2278207 · Waiver
114 PIONEER CT, JEROME, ID 83338(208) 732-7125(208) 933-4417 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2022, May 25, 2021 (2 updates tracked since 2021).

About Family Health Services Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY HEALTH SERVICES CORPORATION (NPI 1073188728) is a healthcare organization registered as a federally qualified health center (fqhc) in Jerome, Idaho and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Stacey Blackwood, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1073188728
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAMILY HEALTH SERVICES CORPORATION
Location Address114 PIONEER CTJerome, ID 83338-5193
Mailing Address794 Eastland DrTwin Falls, ID 83301-6856 · (208) 737-6718 · Fax (208) 734-5036
Fax(208) 933-4417
Organization SubpartNo
Authorized OfficialStacey BlackwoodCredentialing Specialist · (208) 737-6718
Enumeration DateMay 25, 2021
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1073188728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental AssistantTaxonomy 126800000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
114 PIONEER CT, Jerome, ID 83338

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Health Services Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Family Health Services Corporation, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Family Practice16
Clinical Social Worker14
Nurse Practitioner12
Mental Health Counselor5
Registered Dietitian or Nutrition Professional3
Clinical Psychologist2

Nearest to this location (20)

See all 52
Family Practice
NPI 1902941750
114 PIONEER CT
Jerome, ID 83338
(208) 324-3471
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1982285748
218 W NEZ PERCE
Jerome, ID 83338
(208) 324-3471
✔ PECOS0.3 mi
Family Practice
NPI 1891784245
215 W YAKIMA STE 3
Jerome, ID 83338
(208) 734-1394
✔ PECOS0.8 mi
Family Practice
NPI 1639791361
132 5TH AVE W STE 2
Jerome, ID 83338
(208) 814-9800
✔ PECOS✔ Accepts Medicare1.6 mi
Clinical Social Worker
NPI 1548718257
301 W 325 S
Jerome, ID 83338
(208) 957-3359
✔ PECOS3.7 mi
Nurse Practitioner
NPI 1194158246
218 W NEZ PERCE
Jerome, ID 83338
(208) 324-3471
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1215504063
115 FALLS AVE W
Twin Falls, ID 83301
(208) 733-1662
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1508517061
1411 FALLS AVE E STE 207
Twin Falls, ID 83301
(208) 244-0021
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1013974658
388 MARTIN ST
Twin Falls, ID 83301
(208) 734-0451
✔ PECOS✔ Accepts Medicare9.6 mi
Clinical Social Worker
NPI 1164931184
388 MARTIN ST
Twin Falls, ID 83301
(208) 734-0451
✔ PECOS9.6 mi
Family Practice
NPI 1609834621
388 MARTIN ST
Twin Falls, ID 83301
(208) 734-0451
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1366044935
388 MARTIN ST
Twin Falls, ID 83301
(208) 734-0451
✔ PECOS✔ Accepts Medicare9.6 mi
Family Practice
NPI 1750644456
388 MARTIN ST
Twin Falls, ID 83301
(208) 737-0451
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1215880547
388 MARTIN ST
Twin Falls, ID 83301
(208) 734-0451
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1437921830
325 MARTIN ST
Twin Falls, ID 83301
(208) 732-7101
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1881212942
260 3RD AVE N
Twin Falls, ID 83301
(208) 650-7855
✔ PECOS10 mi
Clinical Psychologist
NPI 1316306509
826 EASTLAND DR
Twin Falls, ID 83301
(208) 734-3312
✔ PECOS11 mi
Clinical Social Worker
NPI 1295385862
826 EASTLAND DR
Twin Falls, ID 83301
(208) 737-0572
✔ PECOS✔ Accepts Medicare11 mi
Mental Health Counselor
NPI 1700560364
826 EASTLAND DR
Twin Falls, ID 83301
(208) 732-7447
✔ PECOS11 mi
Family Practice
NPI 1427583285
725 FAIR ST
Buhl, ID 83316
(208) 543-8271
✔ PECOS✔ Accepts Medicare14 mi
See all 52 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2278207

Family Health Services · Jerome, ID
Active · expires Mar 13, 2027
CLIA Number13D2278207
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorBasil Anderson
Laboratory Phone(208) 732-7125
Laboratory LocationFamily Health Services114 Pioneer Ct, Jerome, ID 83338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Health Services Corporation's NPI number?

The NPI number for Family Health Services Corporation is 1073188728. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Family Health Services Corporation located?

Family Health Services Corporation is located at 114 Pioneer Ct, Jerome, ID 83338. The listed phone number is (208) 732-7125.

What is Family Health Services Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Family Health Services Corporation enrolled in Medicare?

Yes. Family Health Services Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Health Services Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Health Services Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (16), Clinical Social Worker (14) and Nurse Practitioner (12). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Health Services Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2278207) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Health Services Corporation accept?

Health plans from University of Utah Health Plans list Family Health Services Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Health Services Corporation was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.