DESERT SAGE HEALTH CENTERS – NPI #1972633949
Clinic/Center

DESERT SAGE HEALTH CENTERS is an AHC clinic located in GRAND VIEW, ID. NPPES has assigned the NPI number 1972633949 to DESERT SAGE HEALTH CENTERS on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DESERT SAGE HEALTH CENTERS” is a dba name, the actual legal business name for this organization is GLENNS FERRY HEALTH CENTER, INC.. 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 Sep 20, 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 DESERT SAGE HEALTH CENTERS below.

NPI Profile for
GLENNS FERRY HEALTH CENTER, INC.

NPI Number
1972633949
Enumeration Date

(more than 19 years 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
GLENNS FERRY HEALTH CENTER, INC.
Doing Business As (dba): DESERT SAGE HEALTH CENTERS
Primary location
350 MAIN ST.
GRAND VIEW, ID 83624
Phone: (208) 834-2929 Fax: (208) 587-3324
Mailing address
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone: (208) 587-3988 Fax: (208) 587-3324
Organization Subpart
Yes - DESERT SAGE HEALTH CENTERS is subpart of another organization.
Authorized Official
SHARLET WILSON
EXECUTIVE ASSISTANT
Phone: (208) 696-7203
Updated
Certification Date
Sep 20, 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.

Identifiers

Identifiers for DESERT SAGE HEALTH CENTERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS OF IDAHOID86645
otherMEDICARE RAILROADIDCP8711
medicaidID002550600
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)
ID

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.