Healthcare Provider Details

I. General information

NPI: 1255533295
Provider Name (Legal Business Name): COMPREHENSIVE FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4424 N 1500 E
BUHL ID
83316-5238
US

IV. Provider business mailing address

PO BOX 5191
TWIN FALLS ID
83303-5191
US

V. Phone/Fax

Practice location:
  • Phone: 208-543-6876
  • Fax: 208-543-2542
Mailing address:
  • Phone: 208-404-4262
  • Fax: 208-543-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOANNE CRANER
Title or Position: OWNER
Credential:
Phone: 208-543-6876