NPI
Family Health Services Corporation
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2022-04-12
- Last updated
- 2024-10-28
Specialties
- 101YM0800XCounselor, Mental Health
- 104100000XSocial Worker
- 1041C0700XSocial Worker, Clinical
- 1223G0001XDentist, General Practice
- 124Q00000XDental Hygienist
- 183500000XPharmacist
- 207Q00000XFamily Medicine
- 208U00000XClinical Pharmacology
- 261QF0400XClinic/Center, Federally Qualified Health Center (FQHC)
- 333600000XPharmacy
- 3336C0003XPharmacy, Community/Retail Pharmacy
- 363A00000XPhysician Assistant
- 363L00000XNurse Practitioner
Licenses
The registry row did not include a license.
Location
- Practice location
- 651 S Beverly St
- City
- Shoshone ID
- Postal code
- 83352
- Phone
- (208) 886-2224
Organization contact
- Name
- STACEY BLACKWOOD
- Title
- CREDENTIALING SPECIALIST
- Phone
- 2087376718
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Shoshone, ID. 32 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Check this organization's whole roster against the NPI registry
Deactivated, mismatched or missing NPIs, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.