Organization · Type 2 NPI

Upper Valley Community Health Services Inc

Federally Qualified Health Center (FQHC) · Rexburg, ID

NPI number 1184329005 Active

Practice location

72 S 1st E Ste 104
Rexburg, ID 83440-1902

Fax (208) 372-4114

Mailing address

PO Box 18
St. Anthony, ID 83445-0018

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Community/Retail Pharmacy 3336C0003XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1184329005

Upper Valley Community Health Services Inc's National Provider Identifier is 1184329005, issued on Mar 31, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rexburg, ID. The record was last updated on May 21, 2024.