FAMILY CARE CENTER (NPI# 1922205574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922205574 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CENTER |
| Practice Address |
1740 E 17th St Ste B Idaho Falls ID 83404-6375 |
| Practice Telephone | 2085298832 |
| Practice Fax Number | 2085228725 |
| Mailing Telephone | 2085298832 |
| Mailing Fax Number | 2085228725 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THANA SINGARAJAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2085298832 |
| Authorized Official Credential | LPCP-69 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003013640 | Family Care Center | Case Management | 1970 E 17th St Ste 201, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1831396480 | Family Care Center | Community/Behavioral Health | 1970 E 17th St Ste 206, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1407877657 | Family Care Center | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-07-22 |
| 1629406996 | Family Care Center | Clinical Nurse Specialist | 1109 Plaza Dr, Grundy, VA 24614-6780 | 2013-10-24 |
| 1700083342 | Family Care Center | Case Management | 1970 E 17th St Ste 206, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1275673089 | Family Care Center | Family Medicine | 941 Ocean Ave, Brooklyn, NY 11226-6715 | 2007-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY CARE CENTER | 2875 Highland Ave Ne, Hickory, NC 28601-8626 |
| Virginia Business Entities | FAMILY CARE CENTER INC. | 21556 Timberlake Road, Suite D, Lynchburg, Virginia 24502 |
| Virginia Business Entities | Family Care Center of Buchanan County LLC | Us Rte 460 West, Po Box 1440, Grundy, Virginia 24614 |
| Colorado Business Entities | Family Care Center, LLC | 2860 South Circle Dr, Suite100, Colorado Springs, CO 80906 |
| System for Award Management (SAM) Entities | FAMILY CARE CENTER, P.C. | 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756-1697 |
| Oregon Corporations, Companies and Business Names | FAMILY CARE CENTER, P.C. | 1001 Canal Blvd Ste 101, Redmond, OR 97756 |
| Oklahoma Business Registrations | FAMILY CARE CENTERS OF OKLAHOMA, L.L.C. | 3621 Apollo, Po Box 72250 Corpus Christi Tx 78427 (mailing), Corpus Christi, TX 78413 |
| System for Award Management (SAM) Entities | FAMILY CARE CENTERS, INC | 206 E Brown St, East Stroudsburg, PA 18301-3006 |
| Street Address |
1740 E 17TH ST STE B |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083648323 | Brandon Rex Browning | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-11 |
| 1407032709 | Peggy J Clark | Social Worker | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2008-01-16 |
| 1154507796 | Glenn Rose | Social Worker | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2008-01-14 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1467586073 | Leslie Barton | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-03-15 |
| 1629102264 | Donna Marie Emfield | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-03-15 |
| 1568596062 | Family Care Center, Inc | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-03-15 |
| 1174537203 | Susan Kay Jones | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-27 |
| 1457365504 | Kathlene Fay Parsons | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-27 |
| 1730104464 | Family Care Center Inc | Counselor | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610532 | Shawn Warren | Nurse Practitioner | 755 Lomax St, Idaho Falls, ID 83401-2786 | 2019-07-10 |
| 1639507551 | Jason Martin | Nurse Practitioner | 13734 S 1st E, Idaho Falls, ID 83404-7852 | 2013-10-31 |
| 1437765344 | Jennifer Christine Maire | Nurse Practitioner | 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 | 2020-09-17 |
| 1922641968 | Anna Blonquist | Nurse Practitioner | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2019-10-22 |
| 1245796101 | Brian Brimhall | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-02-15 |
| 1033542634 | Nathan Eric Bradfield | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2013-08-19 |
| 1497197891 | Jeffrey C Anderson | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2013-07-25 |
| 1528346194 | Shanna Neff | Nurse Practitioner | 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857952 | Lidia Timofeenko Petersen | Nurse Practitioner | 775 Wayne Ave, Pocatello, ID 83201-3718 | 2020-06-29 |
| 1790302594 | Dumu Psychiatry LLC | Nurse Practitioner | 9428 W Fairview Ave, Boise, ID 83704-8101 | 2020-06-29 |
| 1861024689 | Jessica Erin Bringman | Nurse Practitioner | 3624 23rd St, Lewiston, ID 83501-6121 | 2020-02-10 |
| 1760950604 | Scott A Watkins | Nurse Practitioner | 2836 Cougar Ave, Nampa, ID 83687-9107 | 2018-11-08 |
| 1104309657 | Brigitta Panther | Nurse Practitioner | 418 W Reese St, Boise, ID 83706-6233 | 2018-09-11 |
| 1659870178 | Mark Mcgrath | Nurse Practitioner | 1309 Ponderosa Dr Ste 103, Sandpoint, ID 83864-8278 | 2018-02-10 |
| 1467855403 | Clint Emmett | Nurse Practitioner | 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 | 2014-10-06 |
| 1881027241 | Colleen R Fleming | Nurse Practitioner | 2025 W Park Place, Ste B, Coeur D Alene, ID 83814-2785 | 2013-08-20 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1104191089 | Natasha M Splaine-talbott | Nurse Practitioner | 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 | 2012-03-12 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.