Grand Peaks Dental
LBN: Upper Valley Community Health Services Inc
Grand Peaks Dental is an health care organization with primary practice located at 72 S 1St E Ste 102 , Rexburg ID 83440-1902. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Upper Valley Community Health Services Inc can be contacted via phone (208) 356-4900, or through Sessions, Lori K via phone (208) 356-4900.
Contact Information
Primary practice address
72 S 1St E Ste 102
Rexburg ID 83440-1902
Phone: (208) 356-4900
Fax: (208) 359-1600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1558123356 |
|---|---|
| LBN Legal business name | Upper Valley Community Health Services Inc |
| DBA Doing business as | Grand Peaks Dental |
| Authorized official | Sessions, Lori K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2024 |
| Last updated | May 2nd, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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