{"npi":"1689383259","type":"NPI-2","status":"active","name":{"display":"Family Health Services Corporation","other":[],"organization_name":"FAMILY HEALTH SERVICES CORPORATION","authorised_official":"Stacey Blackwood"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"101YS0200X","description":"School Counselor","primary":false,"state":null,"license":null},{"code":"1041S0200X","description":"School Social Worker","primary":false,"state":null,"license":null},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"616 EASTLAND DR","city":"TWIN FALLS","state":"ID","postal_code":"833016846","country_code":"US","phone":"2087375282"},{"purpose":"MAILING","street_1":"794 EASTLAND DR","city":"TWIN FALLS","state":"ID","postal_code":"833016856","country_code":"US","phone":"2087343312","fax":"2087345036"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241118002726","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"ID","pac_id":"7012815038"}]},"enumeration_date":"2022-11-22","last_updated":"2024-08-26","_meta":{"source":"NPPES","snapshot_date":"2024-08-26","doc_url":"https://findmynpi.com/api"}}