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General NPI Number Information
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NPI Number | 1336053685
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Entity Type | Organization
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Legal Business Name | UPPER VALLEY COMMUNITY HEALTH SERVICES INC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 114 S MAIN ST
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City | FIRTH
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State | ID
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Zip | 83236-1168
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Country | US
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Telephone | 208-346-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 335 E MAIN ST
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City | SAINT ANTHONY
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State | ID
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Zip | 83445-1546
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Country | US
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Telephone | 208-356-4900
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LORI K SESSIONS
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Credential |
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Telephone | 208-356-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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