| Family Care Center | |
|
1740 E 17th St Ste B Idaho Falls ID 83404-6375 | |
| (208) 529-8832 | |
| (208) 522-8725 |
| Full Name | Family Care Center |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1740 E 17th St Ste B, Idaho Falls, Idaho |
| Authorized Official Name and Position | Thana Singarajah (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2085298832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center 1740 E 17th St Ste B Idaho Falls ID 83404-6375 Ph: (208) 529-8832 | Family Care Center 1740 E 17th St Ste B Idaho Falls ID 83404-6375 Ph: (208) 529-8832 |
| NPI Number | 1992902530 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992902530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD (Idaho) | Primary |
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