Organization · Type 2 NPI

Glenns Ferry Health Center, Inc.

Federally Qualified Health Center (FQHC) · Grand View, ID

NPI number 1972633949 Active

Practice location

350 Main St.
Grand View, ID 83624

Call (208) 834-2929 Map

Fax (208) 587-3324

Mailing address

120 Desert Sage Way
Mountain Home, ID 83647-1038

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

NPI record

NPI: 1972633949
Entity type: Organization (Type 2)
Issued: Mar 7, 2007
Last updated: Sep 20, 2024
Status: Active
Subpart: Yes of Glenns Ferry Health Center, Inc.

Other names

<unavail>
Desert Sage Health Centers · doing business as

Authorized official

Sharlet Wilson
Executive Assistant
(208) 696-7203

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972633949

Glenns Ferry Health Center, Inc.'s National Provider Identifier is 1972633949, issued on Mar 7, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grand View, ID. The record was last updated on Sep 20, 2024.