| Family Care Center, Inc | |
|
1740 E 17th St Ste B Idaho Falls ID 83404-6375 | |
| (208) 529-8832 | |
| (208) 522-8725 |
| Full Name | Family Care Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| 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, Inc 310 N 2nd E Ste 114 Rexburg ID 83440-1606 Ph: (208) 359-0581 | Family Care Center, Inc 1740 E 17th St Ste B Idaho Falls ID 83404-6375 Ph: (208) 529-8832 |
| NPI Number | 1568596062 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568596062 | NPI | - | NPPES |
| 8J513 | Other | ID | BLUE CROSS OF IDAHO |
| 000010006240 | Other | ID | BLUE SHIELD OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Idaho) | Primary |
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