GRAND PEAKS MEDICAL – NPI #1932961810
Clinic/Center

GRAND PEAKS MEDICAL is a AHC clinic located in IDAHO FALLS, ID. NPPES recently assigned the NPI number 1932961810 to GRAND PEAKS MEDICAL on January 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAND PEAKS MEDICAL” is a dba name, the actual legal business name for this organization is UPPER VALLEY COMMUNITY HEALTH SERVICES, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Feb 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND PEAKS MEDICAL below.

NPI Profile for
UPPER VALLEY COMMUNITY HEALTH SERVICES, INC.

NPI Number
1932961810
Created

(about a month ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UPPER VALLEY COMMUNITY HEALTH SERVICES, INC.
Doing Business As (dba): GRAND PEAKS MEDICAL
Primary location
3729 WOODKING DR STE 1
IDAHO FALLS, ID 83404-4720
Phone: (208) 612-6100 Fax: (208) 612-6118
Mailing address
335 E MAIN ST
SAINT ANTHONY, ID 83445-1546
Phone: (208) 317-1981 Fax:
Organization Subpart
No
Authorized Official
LORI SESSIONS
CEO
Phone: (208) 356-4900
Updated
Certification Date
Feb 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QU0200X
- Clinic/Center / Urgent Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.